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 $750.38 / $750.38 / $750.38	Professional		$750.38	$750.38	$750.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.72 / $907.16 / $1,088.59	Professional		$706.72	$907.16	$1,088.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $963.91 / $1,054.89 / $1,245.43	Professional		$963.91	$1,054.89	$1,245.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.30 / $870.88 / $1,016.02	Professional		$798.30	$870.88	$1,016.02
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 $711.77 / $905.71 / $1,157.03	Professional		$711.77	$905.71	$1,157.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $725.50 / $990.03	Professional		$123.75	$725.50	$990.03