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 $704.09 / $704.09 / $704.09	Professional		$704.09	$704.09	$704.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.87 / $891.23 / $1,069.47	Professional		$688.87	$891.23	$1,069.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $928.51 / $1,016.15 / $1,199.68	Professional		$928.51	$1,016.15	$1,199.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.28 / $855.58 / $998.17	Professional		$784.28	$855.58	$998.17
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 $702.20 / $891.23 / $1,122.35	Professional		$702.20	$891.23	$1,122.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $738.03 / $3,619.79 / $9,324.00	Professional		$738.03	$3,619.79	$9,324.00