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 $302.00 / $398.11 / $512.86	Professional		$302.00	$398.11	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $501.19	Professional		$346.74	$416.87	$501.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $4,677.35	Professional		$630.96	$741.31	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $478.63	Professional		$338.84	$380.19	$478.63
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 $281.84 / $416.87 / $588.84	Professional		$281.84	$416.87	$588.84
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