Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $524.81	Professional		$302.00	$389.05	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $549.54	Professional		$389.05	$407.38	$549.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $616.60	Professional		$467.74	$512.86	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $616.60	Professional		$436.52	$489.78	$616.60
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 $263.03 / $407.38 / $562.34	Professional		$263.03	$407.38	$562.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,089.30 / $5,370.32	Professional		$446.68	$2,089.30	$5,370.32