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 $381.81 / $514.27 / $707.93	Professional		$381.81	$514.27	$707.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.09 / $770.94 / $925.13	Professional		$629.09	$770.94	$925.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $686.63 / $795.83 / $975.01	Professional		$686.63	$795.83	$975.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.87 / $618.38 / $770.94	Professional		$485.87	$618.38	$770.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.09 / $770.94 / $1,458.94	Professional		$629.09	$770.94	$1,458.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $541.87 / $831.48	Professional		$103.93	$541.87	$831.48