Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,346.00 / $13,879.00	Facility		$2,747.00	$11,346.00	$13,879.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.41 / $568.46 / $568.46	Professional		$542.41	$568.46	$568.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.46 / $811.71 / $811.71	Professional		$629.46	$811.71	$811.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $896.01 / $1,054.13 / $1,187.89	Professional		$896.01	$1,054.13	$1,187.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.31 / $779.24 / $909.12	Professional		$714.31	$779.24	$909.12
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 $662.36 / $811.71 / $1,019.13	Professional		$662.36	$811.71	$1,019.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $555.41 / $836.39	Professional		$29.27	$555.41	$836.39