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 $166.05 / $2,049.15 / $2,629.22	Professional		$166.05	$2,049.15	$2,629.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.69 / $2,160.88 / $2,329.58	Professional		$208.69	$2,160.88	$2,329.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $270.44 / $311.50 / $3,155.44	Professional		$270.44	$311.50	$3,155.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.03 / $1,901.57 / $2,160.88	Professional		$199.03	$1,901.57	$2,160.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.27 / $2,299.30 / $3,301.79	Professional		$1,763.27	$2,299.30	$3,301.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.25 / $230.77 / $2,568.91	Professional		$153.25	$230.77	$2,568.91