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 $255.21 / $267.43 / $597.71	Professional		$255.21	$267.43	$597.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.54 / $626.01 / $673.86	Professional		$305.54	$626.01	$673.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $381.21 / $472.02 / $905.58	Professional		$381.21	$472.02	$905.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.12 / $593.00 / $754.73	Professional		$265.12	$593.00	$754.73
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 $549.87 / $673.86 / $882.39	Professional		$549.87	$673.86	$882.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $322.76 / $1,958.52 / $5,287.00	Professional		$322.76	$1,958.52	$5,287.00