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 $312.27 / $696.18 / $1,191.68	Professional		$312.27	$696.18	$1,191.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.46 / $844.93 / $1,013.91	Professional		$689.46	$844.93	$1,013.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $499.46 / $598.17 / $1,030.19	Professional		$499.46	$598.17	$1,030.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $675.94 / $844.93	Professional		$347.38	$675.94	$844.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.46 / $844.93 / $1,561.24	Professional		$689.46	$844.93	$1,561.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $386.88 / $823.54	Professional		$29.27	$386.88	$823.54