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 $768.42 / $768.42 / $768.42	Professional		$768.42	$768.42	$768.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.20 / $955.40 / $1,146.48	Professional		$738.20	$955.40	$1,146.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,005.52 / $1,100.43 / $1,299.19	Professional		$1,005.52	$1,100.43	$1,299.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.75 / $917.18 / $1,070.05	Professional		$840.75	$917.18	$1,070.05
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 $779.61 / $955.40 / $1,204.80	Professional		$779.61	$955.40	$1,204.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $836.20 / $2,000.00 / $5,304.00	Professional		$836.20	$2,000.00	$5,304.00