Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,210.00 / $10,007.00	Facility		$2,747.00	$8,210.00	$10,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.80 / $595.80 / $595.80	Professional		$595.80	$595.80	$595.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.63 / $436.63 / $781.32	Professional		$436.63	$436.63	$781.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $816.57 / $893.64 / $1,104.77	Professional		$816.57	$893.64	$1,104.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $419.16 / $489.02	Professional		$384.23	$419.16	$489.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.29 / $478.58 / $614.13	Professional		$356.29	$478.58	$614.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $453.18 / $1,146.86	Professional		$29.27	$453.18	$1,146.86