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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.11 / $298.11 / $482.57	Professional		$298.11	$298.11	$482.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $676.43 / $811.71	Professional		$530.01	$676.43	$811.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $496.87 / $578.89 / $792.07	Professional		$496.87	$578.89	$792.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.03 / $573.61 / $676.43	Professional		$381.03	$573.61	$676.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.45 / $671.10 / $870.78	Professional		$526.45	$671.10	$870.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $443.86 / $2,500.00 / $6,063.00	Professional		$443.86	$2,500.00	$6,063.00