Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $660.69	Professional		$426.58	$478.63	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $660.69	Professional		$478.63	$562.34	$660.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $851.14	Professional		$630.96	$691.83	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $707.95	Professional		$501.19	$575.44	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $758.58	Professional		$371.54	$524.81	$758.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $467.74 / $660.69	Professional		$29.51	$467.74	$660.69