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 $544.76 / $544.76 / $544.76	Professional		$544.76	$544.76	$544.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.57 / $697.11 / $836.54	Professional		$537.57	$697.11	$836.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $723.61 / $791.92 / $934.95	Professional		$723.61	$791.92	$934.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.46 / $669.23 / $780.77	Professional		$613.46	$669.23	$780.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.13 / $697.11 / $873.96	Professional		$546.13	$697.11	$873.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $551.79 / $744.64	Professional		$29.27	$551.79	$744.64