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 $705.88 / $720.46 / $720.46	Professional		$705.88	$720.46	$720.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.60 / $881.55 / $881.55	Professional		$686.60	$881.55	$881.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $943.25 / $1,059.76 / $1,250.52	Professional		$943.25	$1,059.76	$1,250.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.76 / $846.29 / $987.34	Professional		$775.76	$846.29	$987.34
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 $719.34 / $881.55 / $1,135.94	Professional		$719.34	$881.55	$1,135.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $644.57 / $1,057.65	Professional		$29.27	$644.57	$1,057.65