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 $253.21 / $382.51 / $1,815.28	Professional		$253.21	$382.51	$1,815.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $459.52	Facility		$459.52	$459.52	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $1,353.51 / $1,722.32	Professional		$325.73	$1,353.51	$1,722.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $407.34 / $481.68 / $1,842.15	Professional		$407.34	$481.68	$1,842.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.33 / $1,129.83 / $1,371.15	Professional		$277.33	$1,129.83	$1,371.15
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 $1,293.61 / $1,371.86 / $1,951.97	Professional		$1,293.61	$1,371.86	$1,951.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $344.88 / $1,728.42	Professional		$201.42	$344.88	$1,728.42