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 $546.15 / $546.15 / $659.77	Professional		$546.15	$546.15	$659.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.99 / $621.36 / $745.64	Professional		$486.99	$621.36	$745.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $768.84 / $863.82 / $3,857.00	Professional		$768.84	$863.82	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.79 / $596.51 / $695.93	Professional		$546.79	$596.51	$695.93
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 $507.03 / $638.47 / $824.13	Professional		$507.03	$638.47	$824.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $614.62 / $727.90	Professional		$29.27	$614.62	$727.90