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 $436.52 / $602.56 / $933.25	Professional		$436.52	$602.56	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $776.25	Professional		$676.08	$676.08	$776.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $4,677.35	Professional		$724.44	$891.25	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $851.14	Professional		$416.87	$707.95	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $977.24	Professional		$489.78	$676.08	$977.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $2,041.74 / $5,370.32	Professional		$537.03	$2,041.74	$5,370.32