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 $275.42 / $323.59 / $478.63	Professional		$275.42	$323.59	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $489.78	Professional		$346.74	$371.54	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $512.86 / $2,630.27	Professional		$74.13	$512.86	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $562.34	Professional		$363.08	$446.68	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $489.78	Professional		$251.19	$371.54	$489.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,041.74 / $5,370.32	Professional		$354.81	$2,041.74	$5,370.32