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 $687.01 / $687.01 / $702.11	Professional		$687.01	$687.01	$702.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.13 / $853.83 / $853.83	Professional		$680.13	$853.83	$853.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $994.98 / $1,117.89 / $1,319.11	Professional		$994.98	$1,117.89	$1,319.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.37 / $819.67 / $956.28	Professional		$751.37	$819.67	$956.28
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 $696.72 / $853.83 / $1,100.94	Professional		$696.72	$853.83	$1,100.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $624.82 / $1,102.67	Professional		$29.27	$624.82	$1,102.67