Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $1,077.65 / $2,149.73	Professional		$631.91	$1,077.65	$2,149.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.89 / $850.44 / $1,020.53	Professional		$656.89	$850.44	$1,020.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $893.74 / $978.09 / $1,209.18	Professional		$893.74	$978.09	$1,209.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $816.42 / $952.49	Professional		$748.39	$816.42	$952.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.14 / $850.44 / $1,069.47	Professional		$672.14	$850.44	$1,069.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $9,199.00 / $12,921.00	Professional		$567.08	$9,199.00	$12,921.00