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 $407.38 / $426.58 / $512.86	Professional		$407.38	$426.58	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $489.78	Professional		$389.05	$478.63	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $5,495.41	Professional		$575.44	$741.31	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $549.54	Professional		$407.38	$436.52	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $630.96	Professional		$407.38	$501.19	$630.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,995.26 / $5,370.32	Professional		$446.68	$1,995.26	$5,370.32