Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $484.06 / $580.88	Professional		$395.00	$484.06	$580.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $400.58 / $461.40 / $503.44	Professional		$400.58	$461.40	$503.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $387.25 / $484.06	Professional		$278.39	$387.25	$484.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.48 / $484.06 / $942.20	Professional		$372.48	$484.06	$942.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $280.01 / $461.07	Professional		$66.45	$280.01	$461.07