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 $331.13 / $691.83 / $1,778.28	Professional		$331.13	$691.83	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $891.25	Professional		$724.44	$724.44	$891.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $2,454.71	Professional		$588.84	$758.58	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $724.44 / $891.25	Professional		$316.23	$724.44	$891.25
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 $426.58 / $724.44 / $1,096.48	Professional		$426.58	$724.44	$1,096.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $426.58 / $812.83	Professional		$29.51	$426.58	$812.83