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 $301.69 / $472.73 / $2,514.91	Professional		$301.69	$472.73	$2,514.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $569.66	Facility		$569.66	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.72 / $2,200.51 / $3,037.52	Professional		$390.72	$2,200.51	$3,037.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $598.75 / $3,076.01	Professional		$492.00	$598.75	$3,076.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $1,996.61 / $2,423.08	Professional		$342.87	$1,996.61	$2,423.08
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 $1,935.22 / $2,423.08 / $3,260.75	Professional		$1,935.22	$2,423.08	$3,260.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $278.80 / $419.84 / $4,283.72	Professional		$278.80	$419.84	$4,283.72