Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.47 / $667.00 / $2,953.55	Professional		$463.47	$667.00	$2,953.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.22 / $1,153.81 / $1,384.58	Professional		$907.22	$1,153.81	$1,384.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $816.69 / $965.74 / $1,378.16	Professional		$816.69	$965.74	$1,378.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.00 / $978.43 / $1,153.81	Professional		$582.00	$978.43	$1,153.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.67 / $1,153.81 / $1,539.12	Professional		$899.67	$1,153.81	$1,539.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $633.12 / $2,500.00 / $6,063.00	Professional		$633.12	$2,500.00	$6,063.00