Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $765.37 / $1,209.65	Professional		$705.15	$765.37	$1,209.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.84 / $975.04 / $1,973.43	Professional		$735.84	$975.04	$1,973.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,041.28 / $1,169.90 / $1,408.78	Professional		$1,041.28	$1,169.90	$1,408.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.83 / $936.04 / $1,092.04	Professional		$826.83	$936.04	$1,092.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.68 / $1,042.90 / $1,390.45	Professional		$757.68	$1,042.90	$1,390.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $711.57 / $1,120.75	Professional		$29.27	$711.57	$1,120.75