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 $327.50 / $1,200.48 / $2,075.35	Professional		$327.50	$1,200.48	$2,075.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.30 / $1,463.30 / $1,569.96	Professional		$429.30	$1,463.30	$1,569.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $597.16 / $739.43 / $5,879.00	Professional		$597.16	$739.43	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.82 / $1,381.57 / $1,569.96	Professional		$444.82	$1,381.57	$1,569.96
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 $1,281.08 / $1,569.96 / $2,233.40	Professional		$1,281.08	$1,569.96	$2,233.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.60 / $2,500.00 / $6,063.00	Professional		$505.60	$2,500.00	$6,063.00