Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,818.38 / $2,884.03	Facility		$537.03	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $691.83	Professional		$446.68	$501.19	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $707.95	Professional		$501.19	$562.34	$707.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $2,630.27	Professional		$691.83	$794.33	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $758.58	Professional		$524.81	$602.56	$758.58
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 $380.19 / $537.03 / $794.33	Professional		$380.19	$537.03	$794.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $575.44 / $776.25	Professional		$29.51	$575.44	$776.25