Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.74 / $855.20 / $855.20	Professional		$818.74	$855.20	$855.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $984.24 / $984.24	Professional		$787.82	$984.24	$984.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,130.13 / $1,269.73 / $1,498.28	Professional		$1,130.13	$1,269.73	$1,498.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.13 / $944.87 / $1,102.34	Professional		$866.13	$944.87	$1,102.34
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 $803.14 / $984.24 / $1,272.80	Professional		$803.14	$984.24	$1,272.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $703.48 / $2,000.00 / $5,304.00	Professional		$703.48	$2,000.00	$5,304.00