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 $466.89 / $466.89 / $466.89	Professional		$466.89	$466.89	$466.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.83 / $593.78 / $712.53	Professional		$461.83	$593.78	$712.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $621.42 / $680.08 / $802.92	Professional		$621.42	$680.08	$802.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.52 / $570.02 / $665.03	Professional		$522.52	$570.02	$665.03
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 $480.72 / $593.78 / $774.15	Professional		$480.72	$593.78	$774.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $2,000.00 / $5,304.00	Professional		$449.59	$2,000.00	$5,304.00