Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $460.89 / $1,827.26	Professional		$277.36	$460.89	$1,827.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.07 / $1,721.08 / $2,649.46	Professional		$398.07	$1,721.08	$2,649.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $471.77 / $554.87 / $2,503.48	Professional		$471.77	$554.87	$2,503.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.00 / $1,737.95 / $2,109.16	Professional		$334.00	$1,737.95	$2,109.16
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 $1,733.16 / $2,109.16 / $2,630.48	Professional		$1,733.16	$2,109.16	$2,630.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $374.64 / $2,079.10	Professional		$51.38	$374.64	$2,079.10