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 $546.04 / $546.04 / $546.04	Professional		$546.04	$546.04	$546.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.91 / $745.15 / $894.18	Professional		$572.91	$745.15	$894.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $765.32 / $837.56 / $988.84	Professional		$765.32	$837.56	$988.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.73 / $715.34 / $834.57	Professional		$655.73	$715.34	$834.57
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 $575.41 / $745.15 / $924.35	Professional		$575.41	$745.15	$924.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $785.42 / $2,650.00 / $6,124.00	Professional		$785.42	$2,650.00	$6,124.00