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 $282.25 / $1,270.78 / $2,262.04	Professional		$282.25	$1,270.78	$2,262.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $500.98 / $500.98	Facility		$500.98	$500.98	$500.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.04 / $1,821.15 / $2,591.79	Professional		$390.04	$1,821.15	$2,591.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $451.68 / $534.11 / $2,824.53	Professional		$451.68	$534.11	$2,824.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.36 / $1,500.63 / $1,821.15	Professional		$303.36	$1,500.63	$1,821.15
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 $1,712.18 / $2,348.17 / $2,604.50	Professional		$1,712.18	$2,348.17	$2,604.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $344.32 / $7,821.20 / $11,938.00	Professional		$344.32	$7,821.20	$11,938.00