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 $671.13 / $736.09 / $911.06	Professional		$671.13	$736.09	$911.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.59 / $933.60 / $1,893.64	Professional		$758.59	$933.60	$1,893.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $995.80 / $1,118.81 / $1,286.63	Professional		$995.80	$1,118.81	$1,286.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.69 / $896.26 / $1,045.63	Professional		$791.69	$896.26	$1,045.63
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 $688.01 / $933.60 / $1,269.30	Professional		$688.01	$933.60	$1,269.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $761.87 / $1,241.78	Professional		$128.09	$761.87	$1,241.78