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 $415.99 / $415.99 / $547.51	Professional		$415.99	$415.99	$547.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.01 / $596.40 / $715.68	Professional		$457.01	$596.40	$715.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $751.09 / $921.05	Professional		$652.79	$751.09	$921.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.83 / $572.54 / $667.97	Professional		$524.83	$572.54	$667.97
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 $486.66 / $596.40 / $766.01	Professional		$486.66	$596.40	$766.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $440.19 / $2,500.00 / $6,063.00	Professional		$440.19	$2,500.00	$6,063.00