Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.03 / $990.93 / $3,745.00	Professional		$643.03	$990.93	$3,745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.19 / $913.88 / $1,096.65	Professional		$711.19	$913.88	$1,096.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,018.24 / $1,171.58 / $1,436.67	Professional		$1,018.24	$1,171.58	$1,436.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.21 / $877.32 / $1,023.54	Professional		$804.21	$877.32	$1,023.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.72 / $913.88 / $1,173.51	Professional		$745.72	$913.88	$1,173.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $3,250.00 / $5,885.00	Professional		$124.49	$3,250.00	$5,885.00