Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.95 / $685.95 / $685.95	Professional		$685.95	$685.95	$685.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.61 / $894.44 / $1,073.33	Professional		$690.61	$894.44	$1,073.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $929.89 / $1,044.76 / $5,851.00	Professional		$929.89	$1,044.76	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.11 / $858.66 / $1,001.77	Professional		$787.11	$858.66	$1,001.77
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 $701.60 / $894.44 / $1,121.91	Professional		$701.60	$894.44	$1,121.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $701.12 / $956.92	Professional		$29.27	$701.12	$956.92