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 $338.53 / $442.79 / $1,270.94	Professional		$338.53	$442.79	$1,270.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.94 / $597.94 / $597.94	Facility		$597.94	$597.94	$597.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $1,771.14 / $2,243.17	Professional		$461.73	$1,771.14	$2,243.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $527.59 / $627.64 / $2,424.77	Professional		$527.59	$627.64	$2,424.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $1,459.42 / $1,771.14	Professional		$360.73	$1,459.42	$1,771.14
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 $1,700.63 / $1,789.62 / $2,562.42	Professional		$1,700.63	$1,789.62	$2,562.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $456.12 / $2,105.69	Professional		$263.20	$456.12	$2,105.69