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 $308.55 / $381.66 / $1,839.00	Professional		$308.55	$381.66	$1,839.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $459.44 / $522.98	Professional		$379.89	$459.44	$522.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $405.29 / $589.51	Professional		$74.55	$405.29	$589.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.03 / $502.06 / $585.73	Professional		$396.03	$502.06	$585.73
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 $426.75 / $522.98 / $644.48	Professional		$426.75	$522.98	$644.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $441.24 / $3,600.00 / $9,057.00	Professional		$441.24	$3,600.00	$9,057.00