Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,493.00 / $11,346.00	Facility		$2,747.00	$9,493.00	$11,346.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.71 / $875.12 / $1,203.85	Professional		$610.71	$875.12	$1,203.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,197.00 / $5,197.00 / $5,197.00	Facility		$5,197.00	$5,197.00	$5,197.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.98 / $942.83 / $1,030.68	Professional		$688.98	$942.83	$1,030.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $896.16 / $1,059.71 / $1,446.71	Professional		$896.16	$1,059.71	$1,446.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.95 / $829.69 / $1,055.96	Professional		$628.95	$829.69	$1,055.96
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 $769.35 / $946.08 / $1,207.49	Professional		$769.35	$946.08	$1,207.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $681.08 / $9,074.45 / $12,921.00	Professional		$681.08	$9,074.45	$12,921.00