Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.81 / $744.09 / $915.78	Professional		$684.81	$744.09	$915.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.78 / $940.48 / $1,923.82	Professional		$767.78	$940.48	$1,923.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,006.96 / $1,131.34 / $1,301.05	Professional		$1,006.96	$1,131.34	$1,301.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.52 / $902.86 / $1,053.33	Professional		$797.52	$902.86	$1,053.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.72 / $940.48 / $1,283.58	Professional		$734.72	$940.48	$1,283.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $779.25 / $1,246.72	Professional		$129.53	$779.25	$1,246.72