Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.84 / $687.28 / $828.76	Professional		$642.84	$687.28	$828.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,428.14 / $2,428.14 / $2,428.14	Facility		$2,428.14	$2,428.14	$2,428.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.06 / $896.40 / $1,666.21	Professional		$734.06	$896.40	$1,666.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $941.32 / $1,057.59 / $1,273.54	Professional		$941.32	$1,057.59	$1,273.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.15 / $860.54 / $1,003.97	Professional		$760.15	$860.54	$1,003.97
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 $640.46 / $896.40 / $1,169.27	Professional		$640.46	$896.40	$1,169.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $715.24 / $5,316.74 / $11,157.30	Professional		$715.24	$5,316.74	$11,157.30