Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.68 / $731.68 / $731.68	Professional		$731.68	$731.68	$731.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.90 / $918.33 / $1,101.99	Professional		$709.90	$918.33	$1,101.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $956.34 / $1,046.61 / $1,235.65	Professional		$956.34	$1,046.61	$1,235.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.13 / $881.59 / $1,028.52	Professional		$808.13	$881.59	$1,028.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.70 / $918.33 / $1,157.54	Professional		$734.70	$918.33	$1,157.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $769.08 / $2,575.00 / $6,124.00	Professional		$769.08	$2,575.00	$6,124.00