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 $364.51 / $383.20 / $622.54	Professional		$364.51	$383.20	$622.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $494.73 / $593.66	Professional		$379.18	$494.73	$593.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $571.74 / $625.71 / $738.73	Professional		$571.74	$625.71	$738.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.36 / $474.94 / $554.09	Professional		$435.36	$474.94	$554.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.70 / $494.73 / $632.46	Professional		$403.70	$494.73	$632.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $477.93 / $2,500.00 / $6,063.00	Professional		$477.93	$2,500.00	$6,063.00