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 $616.25 / $761.80 / $3,137.00	Professional		$616.25	$761.80	$3,137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.25 / $949.94 / $949.94	Professional		$762.25	$949.94	$949.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.00 / $1,232.28 / $8,902.00	Professional		$1,071.00	$1,232.28	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.95 / $911.94 / $1,063.93	Professional		$835.95	$911.94	$1,063.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.15 / $949.94 / $1,227.81	Professional		$775.15	$949.94	$1,227.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $1,041.90 / $7,934.00	Professional		$131.26	$1,041.90	$7,934.00