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 $223.84 / $307.97 / $1,384.59	Professional		$223.84	$307.97	$1,384.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $359.66	Facility		$359.66	$359.66	$359.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $1,304.71 / $1,682.80	Professional		$289.42	$1,304.71	$1,682.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $337.36 / $417.06 / $1,807.18	Professional		$337.36	$417.06	$1,807.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $1,108.11 / $1,344.80	Professional		$221.45	$1,108.11	$1,344.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.21 / $1,344.80 / $1,856.72	Professional		$1,215.21	$1,344.80	$1,856.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $184.30 / $286.25 / $1,580.75	Professional		$184.30	$286.25	$1,580.75