Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.04 / $633.00 / $633.00	Professional		$541.04	$633.00	$633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.13 / $955.38 / $955.38	Professional		$694.13	$955.38	$955.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,028.98 / $1,183.93 / $8,902.00	Professional		$1,028.98	$1,183.93	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.73 / $917.16 / $1,070.02	Professional		$840.73	$917.16	$1,070.02
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 $779.59 / $955.38 / $1,165.07	Professional		$779.59	$955.38	$1,165.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $849.97 / $3,692.19 / $9,324.00	Professional		$849.97	$3,692.19	$9,324.00