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 $759.54 / $759.54 / $812.36	Professional		$759.54	$759.54	$812.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.23 / $967.31 / $1,160.78	Professional		$746.23	$967.31	$1,160.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,005.55 / $1,129.77 / $5,851.00	Professional		$1,005.55	$1,129.77	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.24 / $928.62 / $1,083.39	Professional		$851.24	$928.62	$1,083.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.65 / $967.31 / $1,217.27	Professional		$761.65	$967.31	$1,217.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $921.60 / $2,582.96 / $6,124.00	Professional		$921.60	$2,582.96	$6,124.00