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 $217.90 / $355.88 / $710.98	Professional		$217.90	$355.88	$710.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $453.32 / $539.85	Professional		$292.31	$453.32	$539.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $426.85 / $504.76 / $673.32	Professional		$426.85	$504.76	$673.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $475.07 / $604.63	Professional		$294.77	$475.07	$604.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.52 / $539.85 / $671.82	Professional		$440.52	$539.85	$671.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $361.49 / $2,000.00 / $5,304.00	Professional		$361.49	$2,000.00	$5,304.00