Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.99 / $788.41 / $788.41	Professional		$635.99	$788.41	$788.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.69 / $978.51 / $978.51	Professional		$786.69	$978.51	$978.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,104.27 / $1,270.56 / $6,874.20	Professional		$1,104.27	$1,270.56	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.09 / $939.37 / $1,095.93	Professional		$861.09	$939.37	$1,095.93
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 $798.47 / $978.51 / $1,266.41	Professional		$798.47	$978.51	$1,266.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $718.33 / $1,312.81	Professional		$29.27	$718.33	$1,312.81