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 $467.24 / $467.24 / $467.24	Professional		$467.24	$467.24	$467.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $661.94 / $794.33	Professional		$507.91	$661.94	$794.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $679.97 / $744.15 / $878.55	Professional		$679.97	$744.15	$878.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.51 / $635.46 / $741.37	Professional		$582.51	$635.46	$741.37
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 $504.22 / $661.94 / $813.36	Professional		$504.22	$661.94	$813.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $694.26 / $2,650.00 / $6,124.00	Professional		$694.26	$2,650.00	$6,124.00