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 $449.17 / $465.97 / $465.97	Professional		$449.17	$465.97	$465.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.62 / $530.45 / $530.45	Professional		$427.62	$530.45	$530.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $610.57 / $686.00 / $809.48	Professional		$610.57	$686.00	$809.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.80 / $509.23 / $594.10	Professional		$466.80	$509.23	$594.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.85 / $530.45 / $676.89	Professional		$432.85	$530.45	$676.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $504.62 / $2,575.00 / $6,124.00	Professional		$504.62	$2,575.00	$6,124.00