Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $475.54 / $1,666.20	Professional		$394.32	$475.54	$1,666.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.85 / $559.85 / $671.82	Professional		$433.85	$559.85	$671.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $618.11 / $711.19 / $872.13	Professional		$618.11	$711.19	$872.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.67 / $537.46 / $627.03	Professional		$492.67	$537.46	$627.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.84 / $559.85 / $711.09	Professional		$456.84	$559.85	$711.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $529.29 / $3,831.00 / $5,401.00	Professional		$529.29	$3,831.00	$5,401.00