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 $719.98 / $719.98 / $719.98	Professional		$719.98	$719.98	$719.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.50 / $823.00 / $987.60	Professional		$644.50	$823.00	$987.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $896.67 / $981.30 / $1,158.54	Professional		$896.67	$981.30	$1,158.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.24 / $790.08 / $921.76	Professional		$724.24	$790.08	$921.76
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 $671.57 / $823.00 / $1,091.72	Professional		$671.57	$823.00	$1,091.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $769.56 / $2,000.00 / $5,304.00	Professional		$769.56	$2,000.00	$5,304.00