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 $398.11 / $436.52 / $602.56	Professional		$398.11	$436.52	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $630.96	Professional		$446.68	$467.74	$630.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $794.33	Professional		$602.56	$660.69	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $758.58	Professional		$537.03	$602.56	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $707.95	Professional		$338.84	$467.74	$707.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $2,089.30 / $5,370.32	Professional		$512.86	$2,089.30	$5,370.32