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 $395.70 / $395.70 / $395.70	Professional		$395.70	$395.70	$395.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.05 / $430.48 / $516.57	Professional		$327.05	$430.48	$516.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $502.85 / $550.30 / $649.72	Professional		$502.85	$550.30	$649.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.82 / $413.26 / $482.13	Professional		$378.82	$413.26	$482.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.27 / $430.48 / $568.94	Professional		$351.27	$430.48	$568.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $402.86 / $2,000.00 / $5,304.00	Professional		$402.86	$2,000.00	$5,304.00