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 $501.00 / $906.08 / $1,248.00	Professional		$501.00	$906.08	$1,248.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.62 / $970.63 / $1,164.75	Professional		$838.62	$970.63	$1,164.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $889.37 / $1,038.30 / $3,857.00	Professional		$889.37	$1,038.30	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $626.02 / $853.67 / $970.63	Professional		$626.02	$853.67	$970.63
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 $701.95 / $933.30 / $1,255.44	Professional		$701.95	$933.30	$1,255.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $624.84 / $1,958.52 / $5,287.00	Professional		$624.84	$1,958.52	$5,287.00