Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $4,456.00	Facility		$1,758.00	$4,456.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.06 / $668.22 / $9,462.58	Professional		$463.06	$668.22	$9,462.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.17 / $8,439.77 / $9,192.65	Professional		$585.17	$8,439.77	$9,192.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $887.87 / $1,099.38 / $10,394.00	Professional		$887.87	$1,099.38	$10,394.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $8,089.53 / $9,192.65	Professional		$528.58	$8,089.53	$9,192.65
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 $7,501.20 / $9,246.54 / $13,315.11	Professional		$7,501.20	$9,246.54	$13,315.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.58 / $10,928.00 / $12,953.00	Professional		$548.58	$10,928.00	$12,953.00