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 $228.63 / $228.63 / $228.63	Professional		$228.63	$228.63	$228.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.31 / $258.30 / $309.95	Professional		$202.31	$258.30	$309.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $286.91 / $313.99 / $370.70	Professional		$286.91	$313.99	$370.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.30 / $247.97 / $289.30	Professional		$227.30	$247.97	$289.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.77 / $258.30 / $343.04	Professional		$210.77	$258.30	$343.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $253.10 / $2,000.00 / $5,304.00	Professional		$253.10	$2,000.00	$5,304.00