Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $375.17 / $482.11	Professional		$261.08	$375.17	$482.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.30 / $557.03 / $668.43	Professional		$435.30	$557.03	$668.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $471.57 / $557.63 / $692.74	Professional		$471.57	$557.63	$692.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.82 / $472.36 / $557.03	Professional		$334.82	$472.36	$557.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.52 / $557.03 / $728.46	Professional		$446.52	$557.03	$728.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $399.26 / $2,500.00 / $6,063.00	Professional		$399.26	$2,500.00	$6,063.00