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 $207.71 / $266.11 / $1,462.67	Professional		$207.71	$266.11	$1,462.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.64 / $1,505.52 / $1,997.68	Professional		$292.64	$1,505.52	$1,997.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $356.02 / $440.13 / $2,175.55	Professional		$356.02	$440.13	$2,175.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $1,314.66 / $1,595.46	Professional		$241.30	$1,314.66	$1,595.46
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 $1,509.40 / $2,248.40 / $2,309.25	Professional		$1,509.40	$2,248.40	$2,309.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $291.73 / $1,493.60	Professional		$39.56	$291.73	$1,493.60