Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Professional		$791.41	$791.41	$791.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.72 / $1,000.79 / $1,200.95	Professional		$772.72	$1,000.79	$1,200.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,042.29 / $1,171.04 / $5,851.00	Professional		$1,042.29	$1,171.04	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.69 / $960.76 / $1,120.88	Professional		$880.69	$960.76	$1,120.88
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 $791.70 / $1,000.79 / $1,263.20	Professional		$791.70	$1,000.79	$1,263.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $923.79 / $1,294.33	Professional		$29.27	$923.79	$1,294.33