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 $302.00 / $426.58 / $616.60	Professional		$302.00	$426.58	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $660.69	Professional		$363.08	$501.19	$660.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $3,981.07	Professional		$512.86	$630.96	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $660.69	Professional		$338.84	$537.03	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $630.96	Professional		$257.04	$489.78	$630.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,995.26 / $5,370.32	Professional		$407.38	$1,995.26	$5,370.32