Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.43 / $722.43 / $722.43	Professional		$722.43	$722.43	$722.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.69 / $933.03 / $1,119.63	Professional		$726.69	$933.03	$1,119.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $981.55 / $1,102.80 / $5,851.00	Professional		$981.55	$1,102.80	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.06 / $895.70 / $1,044.99	Professional		$821.06	$895.70	$1,044.99
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 $759.01 / $933.03 / $1,219.49	Professional		$759.01	$933.03	$1,219.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $694.92 / $1,010.07	Professional		$29.27	$694.92	$1,010.07