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 $469.97 / $690.73 / $1,410.72	Professional		$469.97	$690.73	$1,410.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.06 / $1,083.59 / $1,300.32	Professional		$851.06	$1,083.59	$1,300.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $801.56 / $947.85 / $1,260.53	Professional		$801.56	$947.85	$1,260.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.73 / $918.89 / $1,083.59	Professional		$571.73	$918.89	$1,083.59
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 $806.05 / $1,083.59 / $1,424.61	Professional		$806.05	$1,083.59	$1,424.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $633.32 / $2,500.00 / $6,063.00	Professional		$633.32	$2,500.00	$6,063.00