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 $201.50 / $293.45 / $553.80	Professional		$201.50	$293.45	$553.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $340.67 / $429.14	Professional		$239.90	$340.67	$429.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $372.12 / $537.47	Professional		$300.52	$372.12	$537.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $377.64 / $480.63	Professional		$210.43	$377.64	$480.63
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 $350.18 / $429.14 / $535.29	Professional		$350.18	$429.14	$535.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $1,958.52 / $5,287.00	Professional		$254.44	$1,958.52	$5,287.00