Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.82 / $751.76 / $1,162.89	Professional		$483.82	$751.76	$1,162.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $896.20 / $1,075.44	Professional		$700.25	$896.20	$1,075.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $747.24 / $883.61 / $1,112.14	Professional		$747.24	$883.61	$1,112.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.73 / $759.98 / $896.20	Professional		$523.73	$759.98	$896.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.39 / $896.20 / $1,202.48	Professional		$676.39	$896.20	$1,202.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $621.08 / $2,500.00 / $6,063.00	Professional		$621.08	$2,500.00	$6,063.00