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 $363.08 / $512.86 / $812.83	Professional		$363.08	$512.86	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $812.83	Professional		$426.58	$660.69	$812.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $3,981.07	Professional		$616.60	$758.58	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $933.25	Professional		$446.68	$758.58	$933.25
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 $338.84 / $588.84 / $812.83	Professional		$338.84	$588.84	$812.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,041.74 / $5,370.32	Professional		$446.68	$2,041.74	$5,370.32