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 $111.92 / $1,540.67 / $1,674.35	Professional		$111.92	$1,540.67	$1,674.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $1,673.61 / $1,749.29	Professional		$140.77	$1,673.61	$1,749.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.62 / $220.82 / $2,540.00	Professional		$178.62	$220.82	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $1,472.78 / $1,673.61	Professional		$133.10	$1,472.78	$1,673.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,365.67 / $1,828.09 / $2,629.88	Professional		$1,365.67	$1,828.09	$2,629.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $152.41 / $2,021.97	Professional		$101.22	$152.41	$2,021.97