Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $575.44	Professional		$389.05	$446.68	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $588.84	Professional		$426.58	$478.63	$588.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $776.25	Professional		$588.84	$630.96	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $707.95	Professional		$501.19	$562.34	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $676.08	Professional		$323.59	$524.81	$676.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,089.30 / $5,370.32	Professional		$446.68	$2,089.30	$5,370.32