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 $562.34 / $630.96 / $870.96	Professional		$562.34	$630.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $870.96	Professional		$616.60	$724.44	$870.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,096.48	Professional		$831.76	$912.01	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $912.01	Professional		$645.65	$724.44	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,000.00	Professional		$478.63	$707.95	$1,000.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $616.60 / $851.14	Professional		$29.51	$616.60	$851.14