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 $753.45 / $753.45 / $753.45	Professional		$753.45	$753.45	$753.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.60 / $972.91 / $1,167.50	Professional		$757.60	$972.91	$1,167.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,022.88 / $1,149.24 / $5,851.00	Professional		$1,022.88	$1,149.24	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.16 / $934.00 / $1,089.66	Professional		$856.16	$934.00	$1,089.66
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 $792.09 / $972.91 / $1,271.57	Professional		$792.09	$972.91	$1,271.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $742.26 / $1,052.60	Professional		$29.27	$742.26	$1,052.60