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 $245.47 / $346.74 / $524.81	Professional		$245.47	$346.74	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $549.54	Professional		$316.23	$407.38	$549.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $2,137.96	Professional		$436.52	$524.81	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $537.03	Professional		$281.84	$436.52	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $524.81	Professional		$218.78	$389.05	$524.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,041.74 / $5,370.32	Professional		$354.81	$2,041.74	$5,370.32