Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.80 / $632.28 / $774.26	Professional		$574.80	$632.28	$774.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.66 / $806.55 / $1,619.03	Professional		$650.66	$806.55	$1,619.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $857.42 / $963.34 / $1,107.83	Professional		$857.42	$963.34	$1,107.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.95 / $774.29 / $903.34	Professional		$683.95	$774.29	$903.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.15 / $806.55 / $1,090.80	Professional		$587.15	$806.55	$1,090.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $648.38 / $1,035.44	Professional		$110.29	$648.38	$1,035.44