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 $471.02 / $471.02 / $471.02	Professional		$471.02	$471.02	$471.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $578.76 / $694.52	Professional		$449.41	$578.76	$694.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $604.39 / $661.43 / $780.91	Professional		$604.39	$661.43	$780.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.31 / $555.61 / $648.21	Professional		$509.31	$555.61	$648.21
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 $463.15 / $578.76 / $741.87	Professional		$463.15	$578.76	$741.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $460.18 / $2,000.00 / $5,304.00	Professional		$460.18	$2,000.00	$5,304.00