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 $673.54 / $673.54 / $673.54	Professional		$673.54	$673.54	$673.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.50 / $893.73 / $1,072.47	Professional		$688.50	$893.73	$1,072.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $925.18 / $1,012.51 / $1,195.39	Professional		$925.18	$1,012.51	$1,195.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $786.48 / $857.98 / $1,000.97	Professional		$786.48	$857.98	$1,000.97
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 $688.21 / $893.73 / $1,106.08	Professional		$688.21	$893.73	$1,106.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $696.42 / $2,000.00 / $5,304.00	Professional		$696.42	$2,000.00	$5,304.00