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 $680.19 / $833.56 / $1,000.28	Professional		$680.19	$833.56	$1,000.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $865.72 / $947.43 / $1,147.74	Professional		$865.72	$947.43	$1,147.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.54 / $800.22 / $933.59	Professional		$733.54	$800.22	$933.59
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 $662.68 / $833.56 / $1,675.28	Professional		$662.68	$833.56	$1,675.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $542.78 / $828.24	Professional		$111.36	$542.78	$828.24