Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.87 / $508.64 / $953.96	Professional		$448.87	$508.64	$953.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.30 / $748.60 / $748.60	Professional		$516.30	$748.60	$748.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $793.41 / $912.88 / $4,334.00	Professional		$793.41	$912.88	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.77 / $718.66 / $838.43	Professional		$658.77	$718.66	$838.43
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 $610.86 / $748.60 / $897.74	Professional		$610.86	$748.60	$897.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $542.19 / $3,692.19 / $9,324.00	Professional		$542.19	$3,692.19	$9,324.00