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 $410.16 / $458.94 / $458.94	Professional		$410.16	$458.94	$458.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.43 / $500.59 / $525.30	Professional		$393.43	$500.59	$525.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $578.79 / $650.29 / $767.34	Professional		$578.79	$650.29	$767.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.52 / $480.56 / $560.66	Professional		$440.52	$480.56	$560.66
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 $408.48 / $500.59 / $637.97	Professional		$408.48	$500.59	$637.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $392.92 / $2,000.00 / $5,304.00	Professional		$392.92	$2,000.00	$5,304.00