Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,084.00 / $6,736.65	Facility		$2,747.00	$6,084.00	$6,736.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.69 / $743.80 / $2,974.00	Professional		$632.69	$743.80	$2,974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.57 / $806.58 / $1,628.56	Professional		$651.57	$806.58	$1,628.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $900.89 / $1,036.55 / $1,218.84	Professional		$900.89	$1,036.55	$1,218.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.98 / $774.31 / $903.36	Professional		$683.98	$774.31	$903.36
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 $628.54 / $806.58 / $1,094.09	Professional		$628.54	$806.58	$1,094.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $697.88 / $9,392.00 / $12,921.00	Professional		$697.88	$9,392.00	$12,921.00