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 $364.68 / $366.73 / $567.57	Professional		$364.68	$366.73	$567.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.75 / $450.88 / $450.88	Professional		$356.75	$450.88	$450.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $514.24 / $591.67 / $6,874.20	Professional		$514.24	$591.67	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.77 / $432.84 / $504.98	Professional		$396.77	$432.84	$504.98
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 $367.91 / $450.88 / $571.01	Professional		$367.91	$450.88	$571.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $318.39 / $1,958.52 / $5,287.00	Professional		$318.39	$1,958.52	$5,287.00