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 $233.59 / $406.22 / $1,833.84	Professional		$233.59	$406.22	$1,833.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $435.23 / $496.76	Professional		$276.68	$435.23	$496.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $364.55 / $451.40 / $600.07	Professional		$364.55	$451.40	$600.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.52 / $383.00 / $487.45	Professional		$259.52	$383.00	$487.45
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 $355.14 / $435.75 / $603.39	Professional		$355.14	$435.75	$603.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $313.19 / $1,981.00 / $5,287.00	Professional		$313.19	$1,981.00	$5,287.00