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 $489.78 / $549.54 / $741.31	Professional		$489.78	$549.54	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $741.31	Professional		$524.81	$630.96	$741.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,318.26	Professional		$1,000.00	$1,096.48	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $758.58	Professional		$537.03	$602.56	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $912.01	Professional		$416.87	$676.08	$912.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,089.30 / $5,370.32	Professional		$660.69	$2,089.30	$5,370.32