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 $876.90 / $876.90 / $876.90	Professional		$876.90	$876.90	$876.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.41 / $844.03 / $1,012.83	Professional		$658.41	$844.03	$1,012.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,045.11 / $1,143.77 / $1,350.35	Professional		$1,045.11	$1,143.77	$1,350.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.74 / $810.26 / $945.31	Professional		$742.74	$810.26	$945.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.72 / $844.03 / $1,104.95	Professional		$688.72	$844.03	$1,104.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $856.55 / $992.31	Professional		$29.27	$856.55	$992.31