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 $173.78 / $380.19 / $549.54	Professional		$173.78	$380.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $676.08	Professional		$295.12	$371.54	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $2,137.96	Professional		$426.58	$524.81	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $398.11	Professional		$169.82	$316.23	$398.11
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 $223.87 / $346.74 / $831.76	Professional		$223.87	$346.74	$831.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,995.26 / $5,370.32	Professional		$275.42	$1,995.26	$5,370.32