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 $666.75 / $666.75 / $666.75	Professional		$666.75	$666.75	$666.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.61 / $944.21 / $1,133.06	Professional		$729.61	$944.21	$1,133.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,065.22 / $1,165.77 / $1,376.33	Professional		$1,065.22	$1,165.77	$1,376.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.91 / $906.44 / $1,057.52	Professional		$830.91	$906.44	$1,057.52
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 $770.48 / $944.21 / $1,190.66	Professional		$770.48	$944.21	$1,190.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $901.55 / $2,582.96 / $6,124.00	Professional		$901.55	$2,582.96	$6,124.00