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 $814.10 / $814.10 / $814.74	Professional		$814.10	$814.10	$814.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.19 / $1,007.73 / $1,007.73	Professional		$793.19	$1,007.73	$1,007.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,080.32 / $1,213.77 / $1,432.25	Professional		$1,080.32	$1,213.77	$1,432.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.80 / $967.42 / $1,128.65	Professional		$886.80	$967.42	$1,128.65
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 $822.30 / $1,007.73 / $1,306.88	Professional		$822.30	$1,007.73	$1,306.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $737.65 / $1,382.18	Professional		$29.27	$737.65	$1,382.18