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 $366.14 / $414.35 / $682.58	Professional		$366.14	$414.35	$682.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $541.25 / $541.25	Professional		$401.45	$541.25	$541.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $577.92 / $664.96 / $6,874.20	Professional		$577.92	$664.96	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.30 / $519.60 / $606.20	Professional		$476.30	$519.60	$606.20
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 $441.66 / $541.25 / $680.49	Professional		$441.66	$541.25	$680.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $529.67 / $2,582.96 / $6,124.00	Professional		$529.67	$2,582.96	$6,124.00