Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,817.00	Facility		$1,758.00	$2,747.00	$4,817.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $402.20 / $680.26	Professional		$377.68	$402.20	$680.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.83 / $539.08 / $646.89	Professional		$415.83	$539.08	$646.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $593.57 / $666.90 / $3,857.00	Professional		$593.57	$666.90	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.39 / $517.51 / $603.76	Professional		$474.39	$517.51	$603.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.89 / $539.08 / $680.66	Professional		$439.89	$539.08	$680.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $508.28 / $5,990.97 / $9,416.00	Professional		$508.28	$5,990.97	$9,416.00