Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $8,499.00	Facility		$2,747.00	$6,966.00	$8,499.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.65 / $287.95 / $1,185.57	Professional		$239.65	$287.95	$1,185.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.79 / $1,147.91 / $1,393.14	Professional		$385.79	$1,147.91	$1,393.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $497.73 / $588.58 / $1,531.78	Professional		$497.73	$588.58	$1,531.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.99 / $1,010.16 / $1,285.66	Professional		$353.99	$1,010.16	$1,285.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.70 / $1,177.90 / $1,698.80	Professional		$936.70	$1,177.90	$1,698.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $394.87 / $9,435.00 / $12,953.00	Professional		$394.87	$9,435.00	$12,953.00