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 $64.79 / $437.74 / $2,344.40	Professional		$64.79	$437.74	$2,344.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $2,317.75 / $3,970.62	Professional		$78.00	$2,317.75	$3,970.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $130.41 / $3,004.57	Professional		$110.87	$130.41	$3,004.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.89 / $2,367.23 / $3,006.38	Professional		$90.89	$2,367.23	$3,006.38
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 $1,607.77 / $2,353.81 / $3,414.96	Professional		$1,607.77	$2,353.81	$3,414.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $111.08 / $2,856.51	Professional		$73.76	$111.08	$2,856.51