Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $757.27 / $3,064.00	Professional		$585.00	$757.27	$3,064.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.67 / $829.28 / $995.13	Professional		$643.67	$829.28	$995.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $914.69 / $1,052.44 / $1,290.58	Professional		$914.69	$1,052.44	$1,290.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.76 / $796.10 / $928.79	Professional		$729.76	$796.10	$928.79
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 $666.17 / $829.28 / $1,055.72	Professional		$666.17	$829.28	$1,055.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $595.59 / $3,831.00 / $5,401.00	Professional		$595.59	$3,831.00	$5,401.00