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 $563.27 / $563.27 / $563.27	Professional		$563.27	$563.27	$563.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.55 / $763.73 / $916.47	Professional		$591.55	$763.73	$916.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $799.14 / $874.57 / $1,032.53	Professional		$799.14	$874.57	$1,032.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.08 / $733.18 / $855.37	Professional		$672.08	$733.18	$855.37
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 $505.05 / $763.73 / $949.20	Professional		$505.05	$763.73	$949.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $546.10 / $2,000.00 / $5,304.00	Professional		$546.10	$2,000.00	$5,304.00