Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $719.21 / $955.47	Professional		$137.62	$719.21	$955.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.45 / $838.79 / $1,006.55	Professional		$684.45	$838.79	$1,006.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $226.59 / $280.57 / $1,202.43	Professional		$226.59	$280.57	$1,202.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $671.03 / $838.79	Professional		$152.83	$671.03	$838.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.45 / $838.79 / $1,087.39	Professional		$684.45	$838.79	$1,087.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $917.29 / $3,956.00	Professional		$118.27	$917.29	$3,956.00