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 $326.36 / $368.57 / $368.88	Professional		$326.36	$368.57	$368.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.22 / $461.88 / $461.88	Professional		$358.22	$461.88	$461.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $491.47 / $565.48 / $6,874.20	Professional		$491.47	$565.48	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.45 / $443.40 / $517.29	Professional		$406.45	$443.40	$517.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.89 / $461.88 / $591.74	Professional		$376.89	$461.88	$591.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.80 / $2,582.96 / $6,124.00	Professional		$501.80	$2,582.96	$6,124.00