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 $281.84 / $446.68 / $741.31	Professional		$281.84	$446.68	$741.31
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 $549.54 / $691.83 / $741.31	Professional		$549.54	$691.83	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $812.83	Professional		$380.19	$676.08	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $891.25	Professional		$371.54	$562.34	$891.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $446.68 / $676.08	Professional		$97.72	$446.68	$676.08