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 $703.46 / $703.46 / $1,089.72	Professional		$703.46	$703.46	$1,089.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.66 / $874.29 / $874.29	Professional		$745.66	$874.29	$874.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $936.03 / $1,051.66 / $1,240.96	Professional		$936.03	$1,051.66	$1,240.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.37 / $839.32 / $979.20	Professional		$769.37	$839.32	$979.20
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 $713.42 / $874.29 / $1,127.49	Professional		$713.42	$874.29	$1,127.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $639.65 / $1,159.45	Professional		$29.27	$639.65	$1,159.45