Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $776.25	Professional		$302.00	$446.68	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $707.95	Professional		$575.44	$575.44	$707.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $4,570.88	Professional		$588.84	$724.44	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $776.25	Professional		$371.54	$660.69	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $870.96	Professional		$380.19	$562.34	$870.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,041.74 / $5,370.32	Professional		$446.68	$2,041.74	$5,370.32