Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,466.84 / $4,466.84	Facility		$870.96	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,047.13	Professional		$316.23	$549.54	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $912.01	Professional		$407.38	$660.69	$912.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $3,981.07	Professional		$537.03	$660.69	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $741.31 / $933.25	Professional		$354.81	$741.31	$933.25
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 / $512.86 / $812.83	Professional		$269.15	$512.86	$812.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $2,691.53 / $6,165.95	Professional		$436.52	$2,691.53	$6,165.95