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 $806.42 / $818.51 / $818.51	Professional		$806.42	$818.51	$818.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.53 / $987.21 / $987.21	Professional		$792.53	$987.21	$987.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,150.26 / $1,323.48 / $2,342.00	Professional		$1,150.26	$1,323.48	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.75 / $947.72 / $1,105.68	Professional		$868.75	$947.72	$1,105.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.57 / $987.21 / $1,278.81	Professional		$805.57	$987.21	$1,278.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $705.59 / $2,000.00 / $5,304.00	Professional		$705.59	$2,000.00	$5,304.00