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 $674.77 / $674.77 / $674.77	Professional		$674.77	$674.77	$674.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.12 / $913.93 / $1,096.71	Professional		$714.12	$913.93	$1,096.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $970.73 / $1,062.36 / $1,254.25	Professional		$970.73	$1,062.36	$1,254.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.25 / $877.37 / $1,023.60	Professional		$804.25	$877.37	$1,023.60
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 $730.88 / $913.93 / $1,177.55	Professional		$730.88	$913.93	$1,177.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $663.37 / $998.95	Professional		$29.27	$663.37	$998.95