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 $302.00 / $724.44 / $1,698.24	Professional		$302.00	$724.44	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,096.48 / $1,479.11	Professional		$389.05	$1,096.48	$1,479.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $4,897.79	Professional		$524.81	$645.65	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,380.38 / $1,737.80	Professional		$338.84	$1,380.38	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,148.15 / $1,659.59	Professional		$371.54	$1,148.15	$1,659.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,995.26 / $5,370.32	Professional		$426.58	$1,995.26	$5,370.32