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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.50 / $1,123.16 / $1,347.80	Professional		$916.50	$1,123.16	$1,347.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,097.33 / $1,266.17 / $3,935.00	Professional		$1,097.33	$1,266.17	$3,935.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.41 / $988.38 / $1,123.16	Professional		$804.41	$988.38	$1,123.16
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 $889.32 / $1,123.16 / $2,217.23	Professional		$889.32	$1,123.16	$2,217.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $764.22 / $1,048.05	Professional		$151.07	$764.22	$1,048.05