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 $641.74 / $641.74 / $641.74	Professional		$641.74	$641.74	$641.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.99 / $888.56 / $1,066.28	Professional		$701.99	$888.56	$1,066.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $951.56 / $1,069.09 / $2,077.00	Professional		$951.56	$1,069.09	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $781.94 / $853.02 / $995.19	Professional		$781.94	$853.02	$995.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.84 / $888.56 / $1,075.76	Professional		$700.84	$888.56	$1,075.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $755.98 / $2,575.00 / $6,124.00	Professional		$755.98	$2,575.00	$6,124.00