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 $338.84 / $371.54 / $524.81	Professional		$338.84	$371.54	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $524.81	Professional		$371.54	$436.52	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $2,570.40	Professional		$524.81	$616.60	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $562.34	Professional		$398.11	$457.09	$562.34
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 $275.42 / $489.78 / $575.44	Professional		$275.42	$489.78	$575.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $2,089.30 / $5,370.32	Professional		$512.86	$2,089.30	$5,370.32