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 $613.66 / $613.66 / $613.66	Professional		$613.66	$613.66	$613.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.39 / $670.39 / $783.85	Professional		$670.39	$670.39	$783.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $956.25 / $13,672.00	Professional		$831.10	$956.25	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.94 / $643.57 / $750.83	Professional		$589.94	$643.57	$750.83
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 $547.04 / $687.75 / $891.44	Professional		$547.04	$687.75	$891.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $739.56 / $2,582.96 / $6,124.00	Professional		$739.56	$2,582.96	$6,124.00