Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.97 / $800.97 / $802.43	Professional		$800.97	$800.97	$802.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.87 / $966.88 / $966.88	Professional		$781.87	$966.88	$966.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,057.54 / $1,216.79 / $11,782.00	Professional		$1,057.54	$1,216.79	$11,782.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.85 / $928.20 / $1,082.90	Professional		$850.85	$928.20	$1,082.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.88 / $997.10 / $1,269.24	Professional		$966.88	$997.10	$1,269.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $948.24 / $3,692.19 / $9,324.00	Professional		$948.24	$3,692.19	$9,324.00