Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.90 / $1,437.74 / $2,153.48	Professional		$1,191.90	$1,437.74	$2,153.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,322.80 / $1,695.89 / $2,035.07	Professional		$1,322.80	$1,695.89	$2,035.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,784.85 / $2,005.33 / $2,331.78	Professional		$1,784.85	$2,005.33	$2,331.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,492.38 / $1,628.05 / $1,899.39	Professional		$1,492.38	$1,628.05	$1,899.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.22 / $1,695.89 / $2,186.90	Professional		$1,367.22	$1,695.89	$2,186.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.59 / $1,822.37 / $14,841.00	Professional		$229.59	$1,822.37	$14,841.00