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 $218.90 / $270.69 / $970.32	Professional		$218.90	$270.69	$970.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.98 / $300.77 / $379.44	Professional		$256.98	$300.77	$379.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $426.62 / $480.23	Professional		$74.55	$426.62	$480.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $333.91 / $424.97	Professional		$256.64	$333.91	$424.97
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 $309.62 / $348.60 / $458.42	Professional		$309.62	$348.60	$458.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $1,981.00 / $5,304.00	Professional		$278.94	$1,981.00	$5,304.00