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 $822.72 / $826.75 / $826.75	Professional		$822.72	$826.75	$826.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.74 / $1,017.23 / $1,017.23	Professional		$800.74	$1,017.23	$1,017.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,100.55 / $1,236.50 / $1,459.07	Professional		$1,100.55	$1,236.50	$1,459.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.16 / $976.54 / $1,139.29	Professional		$895.16	$976.54	$1,139.29
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 $830.06 / $1,017.23 / $1,317.77	Professional		$830.06	$1,017.23	$1,317.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $744.12 / $1,384.45	Professional		$29.27	$744.12	$1,384.45