Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.63 / $810.34 / $1,183.26	Professional		$786.63	$810.34	$1,183.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.41 / $948.53 / $948.53	Professional		$756.41	$948.53	$948.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,092.16 / $1,227.07 / $1,447.94	Professional		$1,092.16	$1,227.07	$1,447.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.70 / $910.58 / $1,062.34	Professional		$834.70	$910.58	$1,062.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.00 / $948.53 / $1,222.73	Professional		$774.00	$948.53	$1,222.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $676.62 / $1,018.91	Professional		$29.27	$676.62	$1,018.91