Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,758.00 / $4,456.00	Facility		$879.00	$1,758.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.70 / $607.63 / $762.97	Professional		$408.70	$607.63	$762.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.95 / $856.08 / $1,027.29	Professional		$669.95	$856.08	$1,027.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $747.05 / $870.35 / $1,062.77	Professional		$747.05	$870.35	$1,062.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.90 / $725.95 / $856.08	Professional		$528.90	$725.95	$856.08
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 $676.36 / $856.08 / $1,103.83	Professional		$676.36	$856.08	$1,103.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $583.21 / $2,500.00 / $6,063.00	Professional		$583.21	$2,500.00	$6,063.00