Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $406.44 / $1,373.94	Professional		$289.02	$406.44	$1,373.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.25 / $329.40 / $395.28	Professional		$258.25	$329.40	$395.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $376.98 / $412.55 / $487.07	Professional		$376.98	$412.55	$487.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.87 / $316.22 / $368.93	Professional		$289.87	$316.22	$368.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $329.40 / $436.79	Professional		$268.79	$329.40	$436.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.31 / $3,619.79 / $9,324.00	Professional		$323.31	$3,619.79	$9,324.00