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 $397.84 / $397.84 / $397.84	Professional		$397.84	$397.84	$397.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.76 / $546.23 / $655.47	Professional		$421.76	$546.23	$655.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $583.13 / $638.17 / $753.45	Professional		$583.13	$638.17	$753.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.68 / $524.38 / $611.77	Professional		$480.68	$524.38	$611.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $4,252.00 / $4,252.00	Facility		$4,252.00	$4,252.00	$4,252.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.75 / $546.23 / $675.56	Professional		$431.75	$546.23	$675.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $413.81 / $2,000.00 / $5,304.00	Professional		$413.81	$2,000.00	$5,304.00