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 $331.67 / $349.43 / $349.43	Professional		$331.67	$349.43	$349.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.98 / $390.36 / $399.72	Professional		$319.98	$390.36	$399.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $463.60 / $520.87 / $614.63	Professional		$463.60	$520.87	$614.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.52 / $374.75 / $437.21	Professional		$343.52	$374.75	$437.21
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 $318.54 / $392.69 / $511.52	Professional		$318.54	$392.69	$511.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $355.82 / $2,000.00 / $5,304.00	Professional		$355.82	$2,000.00	$5,304.00