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 $391.51 / $497.59 / $2,321.36	Professional		$391.51	$497.59	$2,321.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.16 / $2,503.19 / $2,913.74	Professional		$503.16	$2,503.19	$2,913.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $675.29 / $836.16 / $5,879.00	Professional		$675.29	$836.16	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $496.75 / $2,564.09 / $2,913.74	Professional		$496.75	$2,564.09	$2,913.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,377.61 / $2,936.31 / $4,159.31	Professional		$2,377.61	$2,936.31	$4,159.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $517.72 / $2,564.05 / $4,023.00	Professional		$517.72	$2,564.05	$4,023.00