Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.72 / $768.72 / $768.72	Professional		$768.72	$768.72	$768.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.00 / $982.70 / $1,179.24	Professional		$758.00	$982.70	$1,179.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,020.57 / $1,116.90 / $1,318.64	Professional		$1,020.57	$1,116.90	$1,318.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.78 / $943.39 / $1,100.61	Professional		$864.78	$943.39	$1,100.61
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 $767.94 / $982.70 / $1,229.45	Professional		$767.94	$982.70	$1,229.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $791.55 / $2,000.00 / $5,304.00	Professional		$791.55	$2,000.00	$5,304.00