Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.14 / $815.14 / $815.14	Professional		$815.14	$815.14	$815.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.67 / $923.23 / $1,107.86	Professional		$797.67	$923.23	$1,107.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $963.45 / $1,137.83 / $4,334.00	Professional		$963.45	$1,137.83	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.44 / $886.30 / $1,034.01	Professional		$812.44	$886.30	$1,034.01
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 $680.40 / $896.26 / $1,174.82	Professional		$680.40	$896.26	$1,174.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $658.38 / $3,692.19 / $9,324.00	Professional		$658.38	$3,692.19	$9,324.00