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 $606.13 / $606.13 / $648.35	Professional		$606.13	$606.13	$648.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.97 / $747.38 / $747.38	Professional		$633.97	$747.38	$747.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $887.75 / $997.41 / $1,176.94	Professional		$887.75	$997.41	$1,176.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $657.69 / $717.48 / $837.06	Professional		$657.69	$717.48	$837.06
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 $609.86 / $747.38 / $955.28	Professional		$609.86	$747.38	$955.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $530.86 / $2,040.00 / $5,304.00	Professional		$530.86	$2,040.00	$5,304.00