Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.43 / $874.30 / $1,049.16	Professional		$713.43	$874.30	$1,049.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $943.51 / $1,032.57 / $1,250.86	Professional		$943.51	$1,032.57	$1,250.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.11 / $786.49 / $880.87	Professional		$692.11	$786.49	$880.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.54 / $874.30 / $1,821.84	Professional		$841.54	$874.30	$1,821.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $644.76 / $2,000.00 / $5,304.00	Professional		$644.76	$2,000.00	$5,304.00