Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.45 / $654.64 / $654.64	Professional		$563.45	$654.64	$654.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.74 / $907.80 / $907.80	Professional		$722.74	$907.80	$907.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $976.79 / $1,097.45 / $1,294.99	Professional		$976.79	$1,097.45	$1,294.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.86 / $871.49 / $1,016.74	Professional		$798.86	$871.49	$1,016.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.76 / $907.80 / $1,169.46	Professional		$740.76	$907.80	$1,169.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $887.30 / $1,150.84	Professional		$29.27	$887.30	$1,150.84