Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $1,164.03 / $1,368.73	Professional		$114.74	$1,164.03	$1,368.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.42 / $1,362.34 / $2,123.46	Professional		$440.42	$1,362.34	$2,123.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $508.67 / $658.48 / $6,873.30	Professional		$508.67	$658.48	$6,873.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $1,198.85 / $1,362.34	Professional		$307.02	$1,198.85	$1,362.34
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 $1,111.67 / $1,651.16 / $2,342.37	Professional		$1,111.67	$1,651.16	$2,342.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $8,240.00 / $12,905.00	Professional		$357.39	$8,240.00	$12,905.00