Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,806.00 / $1,806.00 / $1,806.00	Facility		$1,806.00	$1,806.00	$1,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.86 / $1,787.10 / $3,629.25	Professional		$388.86	$1,787.10	$3,629.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,805.99 / $1,805.99 / $1,805.99	Facility		$1,805.99	$1,805.99	$1,805.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,169.56 / $1,169.56 / $1,169.56	Professional		$1,169.56	$1,169.56	$1,169.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.71 / $925.87 / $1,080.18	Professional		$848.71	$925.87	$1,080.18
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $961.28 / $1,157.33	Professional		$771.56	$961.28	$1,157.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $795.86 / $1,043.35 / $1,214.94	Professional		$795.86	$1,043.35	$1,214.94