Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.25 / $748.25 / $748.25	Professional		$748.25	$748.25	$748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.41 / $1,677.34 / $2,012.81	Professional		$1,300.41	$1,677.34	$2,012.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,182.44 / $1,294.05 / $1,527.79	Professional		$1,182.44	$1,294.05	$1,527.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.06 / $1,610.24 / $1,878.62	Professional		$1,476.06	$1,610.24	$1,878.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.76 / $1,677.34 / $2,153.79	Professional		$859.76	$1,677.34	$2,153.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,202.21 / $1,796.25	Professional		$29.27	$1,202.21	$1,796.25