Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.10 / $766.18 / $1,235.77	Professional		$639.10	$766.18	$1,235.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.14 / $1,004.98 / $1,040.13	Professional		$844.14	$1,004.98	$1,040.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,150.99 / $1,293.17 / $12,802.00	Professional		$1,150.99	$1,293.17	$12,802.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.38 / $964.78 / $1,125.57	Professional		$884.38	$964.78	$1,125.57
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 $820.06 / $1,032.82 / $1,319.88	Professional		$820.06	$1,032.82	$1,319.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $1,039.52 / $12,905.00	Professional		$138.60	$1,039.52	$12,905.00