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 $575.05 / $602.54 / $602.54	Professional		$575.05	$602.54	$602.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.19 / $700.21 / $700.21	Professional		$552.19	$700.21	$700.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $799.79 / $920.23 / $6,874.20	Professional		$799.79	$920.23	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.19 / $672.20 / $784.24	Professional		$616.19	$672.20	$784.24
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 $698.64 / $700.21 / $895.77	Professional		$698.64	$700.21	$895.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $497.68 / $2,000.00 / $5,304.00	Professional		$497.68	$2,000.00	$5,304.00