Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $676.08	Professional		$398.11	$457.09	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $676.08	Professional		$478.63	$512.86	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $3,311.31 / $5,623.41	Professional		$676.08	$3,311.31	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $794.33	Professional		$501.19	$616.60	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $691.83	Professional		$363.08	$537.03	$691.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $537.03 / $776.25	Professional		$83.18	$537.03	$776.25