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 $467.74 / $562.34 / $794.33	Professional		$467.74	$562.34	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $794.33	Professional		$562.34	$602.56	$794.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $5,248.07	Professional		$758.58	$891.25	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $831.76	Professional		$588.84	$660.69	$831.76
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 $446.68 / $602.56 / $912.01	Professional		$446.68	$602.56	$912.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,089.30 / $5,370.32	Professional		$602.56	$2,089.30	$5,370.32