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 $306.06 / $405.50 / $645.03	Professional		$306.06	$405.50	$645.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.55 / $499.48 / $599.37	Professional		$431.55	$499.48	$599.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $526.97 / $592.07 / $2,540.00	Professional		$526.97	$592.07	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.24 / $439.54 / $519.45	Professional		$398.24	$439.54	$519.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.21 / $481.84 / $642.89	Professional		$365.21	$481.84	$642.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $432.92 / $559.78	Professional		$67.79	$432.92	$559.78