Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.47 / $521.47 / $521.47	Professional		$521.47	$521.47	$521.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.77 / $594.64 / $713.57	Professional		$513.77	$594.64	$713.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $618.29 / $676.65 / $819.71	Professional		$618.29	$676.65	$819.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.28 / $570.85 / $665.99	Professional		$523.28	$570.85	$665.99
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 $435.04 / $575.04 / $758.37	Professional		$435.04	$575.04	$758.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $552.63 / $2,582.96 / $6,124.00	Professional		$552.63	$2,582.96	$6,124.00