Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $432.00 / $1,162.58	Professional		$171.38	$432.00	$1,162.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.99 / $992.76 / $1,116.18	Professional		$231.99	$992.76	$1,116.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $350.36 / $1,551.58	Professional		$282.95	$350.36	$1,551.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.48 / $873.63 / $1,111.89	Professional		$190.48	$873.63	$1,111.89
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 $810.09 / $1,088.58 / $1,586.01	Professional		$810.09	$1,088.58	$1,586.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $231.40 / $5,681.00	Professional		$31.11	$231.40	$5,681.00