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 $530.74 / $530.74 / $836.43	Professional		$530.74	$530.74	$836.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.74 / $658.33 / $789.99	Professional		$506.74	$658.33	$789.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $681.85 / $766.08 / $5,851.00	Professional		$681.85	$766.08	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.33 / $631.99 / $737.32	Professional		$579.33	$631.99	$737.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.21 / $658.33 / $823.59	Professional		$521.21	$658.33	$823.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $624.92 / $2,582.96 / $6,124.00	Professional		$624.92	$2,582.96	$6,124.00