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 $510.53 / $510.53 / $510.53	Professional		$510.53	$510.53	$510.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.62 / $715.43 / $858.51	Professional		$549.62	$715.43	$858.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $738.39 / $781.82 / $899.09	Professional		$738.39	$781.82	$899.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.57 / $686.81 / $801.28	Professional		$629.57	$686.81	$801.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.24 / $715.43 / $886.26	Professional		$551.24	$715.43	$886.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.99 / $3,619.79 / $9,324.00	Professional		$520.99	$3,619.79	$9,324.00