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 $424.00 / $424.00 / $424.00	Professional		$424.00	$424.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $637.90 / $765.48	Professional		$493.36	$637.90	$765.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $664.29 / $726.99 / $858.30	Professional		$664.29	$726.99	$858.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.35 / $612.38 / $714.45	Professional		$561.35	$612.38	$714.45
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 $490.13 / $637.90 / $784.79	Professional		$490.13	$637.90	$784.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $453.95 / $2,000.00 / $5,304.00	Professional		$453.95	$2,000.00	$5,304.00