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 $285.48 / $299.30 / $414.91	Professional		$285.48	$299.30	$414.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $335.90 / $342.69	Professional		$275.38	$335.90	$342.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $400.91 / $450.44 / $531.52	Professional		$400.91	$450.44	$531.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.58 / $322.45 / $376.21	Professional		$295.58	$322.45	$376.21
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 $274.08 / $339.49 / $441.54	Professional		$274.08	$339.49	$441.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $2,000.00 / $5,304.00	Professional		$301.58	$2,000.00	$5,304.00