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 $255.08 / $398.14 / $498.01	Professional		$255.08	$398.14	$498.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.69 / $607.78 / $729.33	Professional		$469.69	$607.78	$729.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $465.13 / $547.21 / $748.25	Professional		$465.13	$547.21	$748.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.37 / $515.39 / $607.78	Professional		$337.37	$515.39	$607.78
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 $477.52 / $606.14 / $784.22	Professional		$477.52	$606.14	$784.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $2,500.00 / $6,063.00	Professional		$413.35	$2,500.00	$6,063.00