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 $635.79 / $787.81 / $1,207.50	Professional		$635.79	$787.81	$1,207.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.28 / $978.95 / $978.95	Professional		$786.28	$978.95	$978.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,100.82 / $1,266.58 / $8,902.00	Professional		$1,100.82	$1,266.58	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.48 / $939.79 / $1,096.42	Professional		$861.48	$939.79	$1,096.42
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 $798.82 / $978.95 / $1,265.60	Professional		$798.82	$978.95	$1,265.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $718.20 / $1,292.92	Professional		$29.27	$718.20	$1,292.92