Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.24 / $732.24 / $732.24	Professional		$732.24	$732.24	$732.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.20 / $954.94 / $1,145.93	Professional		$740.20	$954.94	$1,145.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $996.64 / $1,119.76 / $1,302.05	Professional		$996.64	$1,119.76	$1,302.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.35 / $916.74 / $1,069.53	Professional		$840.35	$916.74	$1,069.53
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 $724.04 / $954.94 / $1,221.75	Professional		$724.04	$954.94	$1,221.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $681.07 / $1,222.02	Professional		$29.27	$681.07	$1,222.02