Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.54 / $660.54 / $660.54	Professional		$660.54	$660.54	$660.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.26 / $792.40 / $950.88	Professional		$611.26	$792.40	$950.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $856.52 / $937.37 / $1,106.68	Professional		$856.52	$937.37	$1,106.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.31 / $760.70 / $887.49	Professional		$697.31	$760.70	$887.49
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 $646.60 / $792.40 / $992.76	Professional		$646.60	$792.40	$992.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $754.35 / $2,582.96 / $6,124.00	Professional		$754.35	$2,582.96	$6,124.00