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 $416.87 / $467.74 / $707.95	Professional		$416.87	$467.74	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $724.44	Professional		$512.86	$549.54	$724.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $5,248.07	Professional		$676.08	$794.33	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $812.83	Professional		$512.86	$645.65	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $724.44	Professional		$380.19	$549.54	$724.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $562.34 / $758.58	Professional		$87.10	$562.34	$758.58