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 $219.12 / $219.12 / $413.53	Professional		$219.12	$219.12	$413.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.88 / $596.99 / $716.39	Professional		$476.88	$596.99	$716.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $421.44 / $613.99	Professional		$356.40	$421.44	$613.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.67 / $506.25 / $596.99	Professional		$243.67	$506.25	$596.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.14 / $590.88 / $946.52	Professional		$487.14	$590.88	$946.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $1,925.00 / $5,287.00	Professional		$301.75	$1,925.00	$5,287.00