Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $758.58	Professional		$338.84	$512.86	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $758.58	Professional		$436.52	$562.34	$758.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $3,981.07	Professional		$616.60	$741.31	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $741.31	Professional		$389.05	$602.56	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $741.31	Professional		$302.00	$562.34	$741.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,311.31 / $7,585.78	Professional		$489.78	$3,311.31	$7,585.78