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 $496.31 / $496.31 / $496.31	Professional		$496.31	$496.31	$496.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.93 / $543.79 / $652.54	Professional		$415.93	$543.79	$652.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $621.32 / $679.98 / $802.79	Professional		$621.32	$679.98	$802.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.53 / $522.04 / $609.04	Professional		$478.53	$522.04	$609.04
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 $443.73 / $543.79 / $694.14	Professional		$443.73	$543.79	$694.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $514.46 / $2,575.00 / $6,124.00	Professional		$514.46	$2,575.00	$6,124.00