Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.99 / $500.56 / $751.65	Professional		$381.99	$500.56	$751.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.04 / $381.99 / $458.39	Professional		$330.04	$381.99	$458.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $734.59 / $825.33 / $2,540.00	Professional		$734.59	$825.33	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.98 / $338.16 / $397.27	Professional		$309.98	$338.16	$397.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $381.99 / $762.21	Professional		$277.38	$381.99	$762.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $309.13 / $1,610.00 / $3,956.00	Professional		$309.13	$1,610.00	$3,956.00