Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.19 / $550.64 / $879.66	Professional		$539.19	$550.64	$879.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.47 / $701.80 / $701.80	Professional		$523.47	$701.80	$701.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $750.16 / $863.12 / $8,902.00	Professional		$750.16	$863.12	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.58 / $673.73 / $786.02	Professional		$617.58	$673.73	$786.02
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 $572.66 / $701.80 / $883.85	Professional		$572.66	$701.80	$883.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $512.64 / $841.59	Professional		$29.27	$512.64	$841.59