Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.75 / $717.75 / $717.75	Professional		$717.75	$717.75	$717.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $908.33 / $1,089.99	Professional		$702.00	$908.33	$1,089.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $945.80 / $1,062.63 / $3,857.00	Professional		$945.80	$1,062.63	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.33 / $871.99 / $1,017.32	Professional		$799.33	$871.99	$1,017.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.27 / $908.33 / $1,144.60	Professional		$718.27	$908.33	$1,144.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $752.97 / $3,619.79 / $9,324.00	Professional		$752.97	$3,619.79	$9,324.00