Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.76 / $630.76 / $630.76	Professional		$630.76	$630.76	$630.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.41 / $820.79 / $984.95	Professional		$631.41	$820.79	$984.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $849.42 / $954.35 / $5,851.00	Professional		$849.42	$954.35	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.29 / $787.96 / $919.28	Professional		$722.29	$787.96	$919.28
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 $643.23 / $820.79 / $1,027.91	Professional		$643.23	$820.79	$1,027.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $751.86 / $874.11	Professional		$109.26	$751.86	$874.11