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 $853.40 / $853.40 / $853.40	Professional		$853.40	$853.40	$853.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.48 / $976.51 / $1,171.82	Professional		$754.48	$976.51	$1,171.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,108.74 / $1,213.39 / $1,432.56	Professional		$1,108.74	$1,213.39	$1,432.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.33 / $937.45 / $1,093.69	Professional		$859.33	$937.45	$1,093.69
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 $796.83 / $976.51 / $1,232.72	Professional		$796.83	$976.51	$1,232.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $932.79 / $2,582.96 / $6,124.00	Professional		$932.79	$2,582.96	$6,124.00