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 $752.39 / $752.39 / $752.39	Professional		$752.39	$752.39	$752.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.12 / $935.45 / $1,122.54	Professional		$723.12	$935.45	$1,122.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $975.38 / $1,032.75 / $1,187.66	Professional		$975.38	$1,032.75	$1,187.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.20 / $898.03 / $1,047.70	Professional		$823.20	$898.03	$1,047.70
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 $751.31 / $935.45 / $1,180.82	Professional		$751.31	$935.45	$1,180.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $893.93 / $14,841.00	Professional		$125.46	$893.93	$14,841.00