Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $4,466.84	Facility		$1,778.28	$3,311.31	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $616.60	Professional		$316.23	$354.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $501.19	Professional		$354.81	$407.38	$501.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $5,011.87	Professional		$478.63	$562.34	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $537.03	Professional		$380.19	$426.58	$537.03
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 $263.03 / $446.68 / $562.34	Professional		$263.03	$446.68	$562.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $3,235.94 / $6,165.95	Professional		$478.63	$3,235.94	$6,165.95