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 $815.85 / $856.17 / $856.17	Professional		$815.85	$856.17	$856.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.02 / $982.10 / $982.10	Professional		$785.02	$982.10	$982.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,137.08 / $1,308.31 / $2,342.00	Professional		$1,137.08	$1,308.31	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.25 / $942.82 / $1,099.95	Professional		$864.25	$942.82	$1,099.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.39 / $982.10 / $1,269.30	Professional		$801.39	$982.10	$1,269.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $701.72 / $2,000.00 / $5,304.00	Professional		$701.72	$2,000.00	$5,304.00