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 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.97 / $951.77 / $8,309.87	Professional		$643.97	$951.77	$8,309.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.87 / $7,473.46 / $8,489.43	Professional		$813.87	$7,473.46	$8,489.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,234.63 / $1,422.08 / $1,734.02	Professional		$1,234.63	$1,422.08	$1,734.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.25 / $7,470.69 / $8,489.43	Professional		$747.25	$7,470.69	$8,489.43
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 $6,927.37 / $8,583.90 / $12,297.09	Professional		$6,927.37	$8,583.90	$12,297.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $571.08 / $859.98 / $10,301.50	Professional		$571.08	$859.98	$10,301.50