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 $828.89 / $828.89 / $847.62	Professional		$828.89	$828.89	$847.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.87 / $995.89 / $995.89	Professional		$802.87	$995.89	$995.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,064.00 / $1,224.22 / $8,902.00	Professional		$1,064.00	$1,224.22	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $876.38 / $956.05 / $1,115.39	Professional		$876.38	$956.05	$1,115.39
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 $812.64 / $999.88 / $1,301.49	Professional		$812.64	$999.88	$1,301.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $975.17 / $10,928.00 / $14,841.00	Professional		$975.17	$10,928.00	$14,841.00