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 $142.43 / $1,736.07 / $2,060.27	Professional		$142.43	$1,736.07	$2,060.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $1,751.18 / $1,829.21	Professional		$178.99	$1,751.18	$1,829.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $232.68 / $287.64 / $2,540.00	Professional		$232.68	$287.64	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.31 / $1,541.03 / $1,751.18	Professional		$168.31	$1,541.03	$1,751.18
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 $1,428.96 / $2,029.22 / $2,914.20	Professional		$1,428.96	$2,029.22	$2,914.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $198.55 / $2,231.01	Professional		$131.85	$198.55	$2,231.01