Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $1,288.25	Professional		$251.19	$407.38	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $602.56	Professional		$501.19	$501.19	$602.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $4,570.88	Professional		$645.65	$812.83	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $616.60	Professional		$281.84	$501.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $794.33	Professional		$363.08	$524.81	$794.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $4,786.30 / $7,943.28	Professional		$380.19	$4,786.30	$7,943.28