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 $624.82 / $624.82 / $624.82	Professional		$624.82	$624.82	$624.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.33 / $808.04 / $969.65	Professional		$625.33	$808.04	$969.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $868.50 / $950.48 / $1,122.16	Professional		$868.50	$950.48	$1,122.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.07 / $775.72 / $905.00	Professional		$711.07	$775.72	$905.00
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 $652.65 / $808.04 / $1,046.81	Professional		$652.65	$808.04	$1,046.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $767.89 / $862.20	Professional		$107.77	$767.89	$862.20