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 $315.55 / $315.55 / $437.70	Professional		$315.55	$315.55	$437.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.84 / $684.85 / $821.82	Professional		$558.84	$684.85	$821.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $579.87 / $675.58 / $833.32	Professional		$579.87	$675.58	$833.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.80 / $547.88 / $684.85	Professional		$413.80	$547.88	$684.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.84 / $684.85 / $1,271.40	Professional		$558.84	$684.85	$1,271.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $468.10 / $739.88	Professional		$92.48	$468.10	$739.88