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 $277.91 / $357.30 / $2,191.59	Professional		$277.91	$357.30	$2,191.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $428.65	Facility		$428.65	$428.65	$428.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.44 / $1,646.38 / $2,062.08	Professional		$354.44	$1,646.38	$2,062.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $456.77 / $2,252.34	Professional		$383.95	$456.77	$2,252.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $1,356.61 / $1,646.38	Professional		$259.12	$1,356.61	$1,646.38
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 $1,572.72 / $1,649.64 / $2,400.67	Professional		$1,572.72	$1,649.64	$2,400.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.28 / $330.21 / $1,970.14	Professional		$219.28	$330.21	$1,970.14