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 $719.02 / $723.40 / $1,107.93	Professional		$719.02	$723.40	$1,107.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.54 / $887.14 / $887.14	Professional		$705.54	$887.14	$887.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,041.95 / $1,198.84 / $6,874.20	Professional		$1,041.95	$1,198.84	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.68 / $851.65 / $993.59	Professional		$780.68	$851.65	$993.59
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 $723.90 / $887.14 / $1,141.67	Professional		$723.90	$887.14	$1,141.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $632.30 / $1,153.20	Professional		$29.27	$632.30	$1,153.20