Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.83 / $414.85 / $724.16	Professional		$393.83	$414.85	$724.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.99 / $574.03 / $688.83	Professional		$441.99	$574.03	$688.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $642.45 / $739.19 / $906.46	Professional		$642.45	$739.19	$906.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.14 / $551.05 / $642.91	Professional		$505.14	$551.05	$642.91
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 $468.40 / $574.03 / $734.24	Professional		$468.40	$574.03	$734.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $411.27 / $3,504.36 / $5,401.00	Professional		$411.27	$3,504.36	$5,401.00