Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.94 / $827.36 / $827.36	Professional		$821.94	$827.36	$827.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.52 / $1,028.05 / $1,028.05	Professional		$800.52	$1,028.05	$1,028.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,115.09 / $1,283.02 / $6,874.20	Professional		$1,115.09	$1,283.02	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.68 / $986.93 / $1,151.42	Professional		$904.68	$986.93	$1,151.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.89 / $1,028.05 / $1,317.96	Professional		$838.89	$1,028.05	$1,317.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $747.21 / $1,366.01	Professional		$29.27	$747.21	$1,366.01