Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $2,521.42 / $4,438.18	Professional		$132.91	$2,521.42	$4,438.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $3,247.15 / $3,287.45	Professional		$195.74	$3,247.15	$3,287.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $312.26 / $4,405.97	Professional		$264.06	$312.26	$4,405.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.88 / $2,892.96 / $3,681.94	Professional		$184.88	$2,892.96	$3,681.94
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 $2,682.56 / $3,764.35 / $5,489.57	Professional		$2,682.56	$3,764.35	$5,489.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $223.57 / $3,969.07	Professional		$149.63	$223.57	$3,969.07