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 $952.73 / $952.73 / $952.73	Professional		$952.73	$952.73	$952.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.34 / $1,094.45 / $1,313.34	Professional		$851.34	$1,094.45	$1,313.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,305.54 / $1,382.34 / $1,589.69	Professional		$1,305.54	$1,382.34	$1,589.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.12 / $1,050.67 / $1,225.78	Professional		$963.12	$1,050.67	$1,225.78
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 $893.07 / $1,094.45 / $1,404.83	Professional		$893.07	$1,094.45	$1,404.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,040.39 / $1,186.27	Professional		$29.27	$1,040.39	$1,186.27