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 $477.63 / $477.63 / $477.63	Professional		$477.63	$477.63	$477.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.29 / $743.88 / $892.65	Professional		$574.29	$743.88	$892.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $772.40 / $845.31 / $997.99	Professional		$772.40	$845.31	$997.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.61 / $714.12 / $833.14	Professional		$654.61	$714.12	$833.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.35 / $743.88 / $929.27	Professional		$558.35	$743.88	$929.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $2,575.00 / $6,124.00	Professional		$584.90	$2,575.00	$6,124.00