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 $439.15 / $439.15 / $440.80	Professional		$439.15	$439.15	$440.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.52 / $573.04 / $573.04	Professional		$427.52	$573.04	$573.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $611.05 / $703.07 / $2,342.00	Professional		$611.05	$703.07	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $550.12 / $641.79	Professional		$504.27	$550.12	$641.79
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 $514.87 / $573.04 / $721.94	Professional		$514.87	$573.04	$721.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $2,040.00 / $5,304.00	Professional		$449.59	$2,040.00	$5,304.00