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 $787.19 / $787.19 / $787.19	Professional		$787.19	$787.19	$787.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.82 / $1,015.11 / $1,218.14	Professional		$784.82	$1,015.11	$1,218.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,058.58 / $1,120.85 / $1,288.99	Professional		$1,058.58	$1,120.85	$1,288.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.30 / $974.51 / $1,136.93	Professional		$893.30	$974.51	$1,136.93
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 $805.29 / $1,015.11 / $1,284.47	Professional		$805.29	$1,015.11	$1,284.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $725.96 / $1,089.35	Professional		$29.27	$725.96	$1,089.35