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 $470.72 / $491.05 / $491.05	Professional		$470.72	$491.05	$491.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.44 / $567.01 / $567.01	Professional		$452.44	$567.01	$567.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $647.44 / $727.41 / $858.34	Professional		$647.44	$727.41	$858.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.97 / $544.33 / $635.04	Professional		$498.97	$544.33	$635.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.68 / $567.01 / $726.39	Professional		$462.68	$567.01	$726.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $2,000.00 / $5,304.00	Professional		$449.59	$2,000.00	$5,304.00