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 $494.58 / $494.58 / $494.58	Professional		$494.58	$494.58	$494.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.72 / $566.79 / $680.16	Professional		$489.72	$566.79	$680.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $577.86 / $659.17 / $4,765.00	Professional		$577.86	$659.17	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.78 / $544.13 / $634.82	Professional		$498.78	$544.13	$634.82
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 $411.97 / $545.91 / $715.56	Professional		$411.97	$545.91	$715.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $2,040.00 / $5,304.00	Professional		$449.59	$2,040.00	$5,304.00