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 $459.66 / $459.66 / $526.75	Professional		$459.66	$459.66	$526.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.79 / $609.73 / $731.67	Professional		$526.79	$609.73	$731.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $633.32 / $728.69 / $4,582.80	Professional		$633.32	$728.69	$4,582.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.89 / $536.55 / $634.11	Professional		$467.89	$536.55	$634.11
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 $431.05 / $582.95 / $765.71	Professional		$431.05	$582.95	$765.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $444.66 / $1,958.52 / $5,287.00	Professional		$444.66	$1,958.52	$5,287.00