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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $415.30 / $517.80	Professional		$308.25	$415.30	$517.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.68 / $456.55 / $536.67	Professional		$352.68	$456.55	$536.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $440.30 / $545.17 / $704.60	Professional		$440.30	$545.17	$704.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.47 / $472.27 / $601.08	Professional		$305.47	$472.27	$601.08
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 $437.93 / $536.67 / $678.93	Professional		$437.93	$536.67	$678.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $328.64 / $5,212.49 / $9,764.00	Professional		$328.64	$5,212.49	$9,764.00