Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $512.86	Professional		$263.03	$478.63	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $537.03	Professional		$457.09	$457.09	$537.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $741.31	Professional		$562.34	$602.56	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $478.63	Professional		$380.19	$407.38	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $616.60	Professional		$371.54	$478.63	$616.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $501.19 / $794.33	Professional		$29.51	$501.19	$794.33