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 $853.12 / $853.12 / $853.12	Professional		$853.12	$853.12	$853.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.41 / $980.00 / $1,176.00	Professional		$758.41	$980.00	$1,176.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,109.43 / $1,214.16 / $1,433.45	Professional		$1,109.43	$1,214.16	$1,433.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.40 / $940.80 / $1,097.59	Professional		$862.40	$940.80	$1,097.59
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 $799.68 / $980.00 / $1,240.16	Professional		$799.68	$980.00	$1,240.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $937.32 / $2,582.96 / $6,124.00	Professional		$937.32	$2,582.96	$6,124.00