Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.75 / $865.75 / $865.75	Professional		$865.75	$865.75	$865.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.58 / $1,255.58 / $1,255.58	Professional		$1,255.58	$1,255.58	$1,255.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,041.17 / $1,169.78 / $7,637.00	Professional		$1,041.17	$1,169.78	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.76 / $1,004.46 / $1,171.86	Professional		$920.76	$1,004.46	$1,171.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.32 / $995.58 / $1,211.40	Professional		$656.32	$995.58	$1,211.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $686.34 / $6,488.69 / $12,320.00	Professional		$686.34	$6,488.69	$12,320.00