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 $471.61 / $471.61 / $567.53	Professional		$471.61	$471.61	$567.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.94 / $791.85 / $950.22	Professional		$636.94	$791.85	$950.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $809.60 / $930.58 / $1,070.17	Professional		$809.60	$930.58	$1,070.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.54 / $696.83 / $791.85	Professional		$563.54	$696.83	$791.85
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 $590.29 / $772.70 / $981.75	Professional		$590.29	$772.70	$981.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $628.29 / $870.23	Professional		$109.64	$628.29	$870.23