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 $269.70 / $274.70 / $274.70	Professional		$269.70	$274.70	$274.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.66 / $329.65 / $329.65	Professional		$264.66	$329.65	$329.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $385.21 / $443.22 / $6,874.20	Professional		$385.21	$443.22	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $316.45 / $369.21	Professional		$290.08	$316.45	$369.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.99 / $329.65 / $426.21	Professional		$268.99	$329.65	$426.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $235.49 / $462.78	Professional		$29.27	$235.49	$462.78