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 $380.19 / $467.74 / $630.96	Professional		$380.19	$467.74	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $524.81	Professional		$457.09	$457.09	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $2,691.53	Professional		$575.44	$741.31	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $524.81	Professional		$416.87	$457.09	$524.81
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 $457.09 / $512.86 / $676.08	Professional		$457.09	$512.86	$676.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $2,630.27 / $5,370.32	Professional		$562.34	$2,630.27	$5,370.32