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 $295.12 / $457.09 / $758.58	Professional		$295.12	$457.09	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $758.58	Professional		$380.19	$549.54	$758.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $4,570.88	Professional		$537.03	$630.96	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $776.25	Professional		$346.74	$616.60	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $676.08	Professional		$269.15	$436.52	$676.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $2,041.74 / $5,370.32	Professional		$436.52	$2,041.74	$5,370.32