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 $398.11 / $457.09 / $660.69	Professional		$398.11	$457.09	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $676.08	Professional		$478.63	$512.86	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $2,630.27	Professional		$645.65	$741.31	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $758.58	Professional		$478.63	$602.56	$758.58
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 $354.81 / $512.86 / $691.83	Professional		$354.81	$512.86	$691.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $489.78 / $660.69	Professional		$81.28	$489.78	$660.69