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 $187.84 / $275.68 / $1,676.93	Professional		$187.84	$275.68	$1,676.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $336.96	Facility		$336.96	$336.96	$336.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.27 / $1,261.16 / $1,626.43	Professional		$272.27	$1,261.16	$1,626.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $295.14 / $347.14 / $1,672.06	Professional		$295.14	$347.14	$1,672.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $1,039.20 / $1,261.16	Professional		$201.00	$1,039.20	$1,261.16
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 $1,189.40 / $1,269.82 / $1,808.90	Professional		$1,189.40	$1,269.82	$1,808.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $255.17 / $1,512.81	Professional		$189.10	$255.17	$1,512.81