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 $323.18 / $523.88 / $1,121.00	Professional		$323.18	$523.88	$1,121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.66 / $569.04 / $682.86	Professional		$491.66	$569.04	$682.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $589.17 / $672.07 / $4,765.00	Professional		$589.17	$672.07	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.25 / $500.76 / $591.80	Professional		$440.25	$500.76	$591.80
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 $414.90 / $491.66 / $576.04	Professional		$414.90	$491.66	$576.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $424.07 / $2,000.00 / $5,304.00	Professional		$424.07	$2,000.00	$5,304.00