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 $453.79 / $453.79 / $453.79	Professional		$453.79	$453.79	$453.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.57 / $592.33 / $710.79	Professional		$453.57	$592.33	$710.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $607.21 / $682.21 / $5,851.00	Professional		$607.21	$682.21	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.25 / $568.63 / $663.40	Professional		$521.25	$568.63	$663.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.78 / $592.33 / $734.43	Professional		$456.78	$592.33	$734.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $558.16 / $2,582.96 / $6,124.00	Professional		$558.16	$2,582.96	$6,124.00