Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.90 / $639.90 / $639.90	Professional		$639.90	$639.90	$639.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.53 / $847.81 / $1,090.68	Professional		$600.53	$847.81	$1,090.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $826.70 / $904.73 / $1,118.48	Professional		$826.70	$904.73	$1,118.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.83 / $872.54 / $1,017.97	Professional		$799.83	$872.54	$1,017.97
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 $628.40 / $908.90 / $989.00	Professional		$628.40	$908.90	$989.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $659.51 / $3,619.79 / $9,324.00	Professional		$659.51	$3,619.79	$9,324.00