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 $361.26 / $361.26 / $361.26	Professional		$361.26	$361.26	$361.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.49 / $514.40 / $617.28	Professional		$389.49	$514.40	$617.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $518.36 / $582.39 / $3,857.00	Professional		$518.36	$582.39	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.67 / $493.82 / $576.13	Professional		$452.67	$493.82	$576.13
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 $391.43 / $514.40 / $631.16	Professional		$391.43	$514.40	$631.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $464.33 / $2,500.00 / $6,063.00	Professional		$464.33	$2,500.00	$6,063.00