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 $407.38 / $446.68 / $575.44	Professional		$407.38	$446.68	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $575.44	Professional		$407.38	$489.78	$575.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $758.58	Professional		$575.44	$630.96	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $645.65	Professional		$457.09	$524.81	$645.65
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 / $524.81 / $676.08	Professional		$338.84	$524.81	$676.08
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