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 $188.07 / $275.62 / $3,883.96	Professional		$188.07	$275.62	$3,883.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.78 / $2,192.69 / $4,334.12	Professional		$246.78	$2,192.69	$4,334.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $349.46 / $3,144.26	Professional		$295.52	$349.46	$3,144.26
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $50.24 / $57.87 / $534.52	Professional	AS	$50.24	$57.87	$534.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.91 / $1,929.57 / $2,455.81	Professional		$194.91	$1,929.57	$2,455.81
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 $1,789.23 / $2,291.54 / $3,326.13	Professional		$1,789.23	$2,291.54	$3,326.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $195.92 / $1,749.92 / $2,855.34	Professional		$195.92	$1,749.92	$2,855.34