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 $221.22 / $268.81 / $340.73	Professional		$221.22	$268.81	$340.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.52 / $509.10 / $610.91	Professional		$398.52	$509.10	$610.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $397.23 / $469.72 / $632.37	Professional		$397.23	$469.72	$632.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.48 / $431.72 / $509.10	Professional		$284.48	$431.72	$509.10
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 $404.90 / $509.10 / $664.65	Professional		$404.90	$509.10	$664.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.47 / $2,500.00 / $6,063.00	Professional		$353.47	$2,500.00	$6,063.00