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 $670.34 / $670.34 / $670.34	Professional		$670.34	$670.34	$670.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.94 / $879.14 / $1,054.97	Professional		$680.94	$879.14	$1,054.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $917.58 / $1,030.93 / $5,851.00	Professional		$917.58	$1,030.93	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.64 / $843.97 / $984.63	Professional		$773.64	$843.97	$984.63
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 $660.62 / $879.14 / $1,053.27	Professional		$660.62	$879.14	$1,053.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $717.80 / $944.24	Professional		$29.27	$717.80	$944.24