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 $577.12 / $614.35 / $2,375.23	Professional		$577.12	$614.35	$2,375.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.78 / $860.34 / $1,032.41	Professional		$664.78	$860.34	$1,032.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $980.07 / $6,352.00	Professional		$895.54	$980.07	$6,352.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.10 / $825.92 / $963.58	Professional		$757.10	$825.92	$963.58
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 $689.62 / $860.34 / $1,082.66	Professional		$689.62	$860.34	$1,082.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.98 / $6,488.69 / $11,938.00	Professional		$611.98	$6,488.69	$11,938.00