Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.15 / $638.66 / $766.40	Professional		$521.15	$638.66	$766.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $656.20 / $801.28	Professional		$563.24	$656.20	$801.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.22 / $510.93 / $638.66	Professional		$395.22	$510.93	$638.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.46 / $638.66 / $812.10	Professional		$377.46	$638.66	$812.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $439.38 / $1,958.52 / $5,287.00	Professional		$439.38	$1,958.52	$5,287.00