Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,818.38 / $2,884.03	Facility		$512.86	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $512.86	Professional		$288.40	$338.84	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $524.81	Professional		$371.54	$398.11	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $2,570.40	Professional		$489.78	$575.44	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $616.60	Professional		$398.11	$489.78	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $512.86	Professional		$269.15	$398.11	$512.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $363.08 / $501.19	Professional		$63.10	$363.08	$501.19