Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,485.23 / $2,485.23 / $3,883.00	Facility		$2,485.23	$2,485.23	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.08 / $451.69 / $1,255.69	Professional		$231.08	$451.69	$1,255.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $946.69 / $1,785.63	Professional		$296.58	$946.69	$1,785.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $426.68 / $501.84 / $657.81	Professional		$426.68	$501.84	$657.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $850.10 / $1,105.13	Professional		$249.50	$850.10	$1,105.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.86 / $1,062.63 / $1,346.75	Professional		$706.86	$1,062.63	$1,346.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.86 / $2,772.17 / $5,309.00	Professional		$284.86	$2,772.17	$5,309.00