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 $250.12 / $348.37 / $1,427.55	Professional		$250.12	$348.37	$1,427.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.58 / $1,024.33 / $1,629.20	Professional		$327.58	$1,024.33	$1,629.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $378.09 / $467.42 / $1,779.74	Professional		$378.09	$467.42	$1,779.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.76 / $865.81 / $1,050.74	Professional		$253.76	$865.81	$1,050.74
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 $980.26 / $1,050.74 / $1,456.89	Professional		$980.26	$1,050.74	$1,456.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $323.55 / $9,511.00	Professional		$40.33	$323.55	$9,511.00