Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $4,456.00 / $4,456.00	Facility		$1,324.03	$4,456.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $1,062.00 / $1,853.55	Professional		$339.78	$1,062.00	$1,853.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.44 / $1,235.70 / $1,372.70	Professional		$429.44	$1,235.70	$1,372.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $642.64 / $5,879.00	Professional		$519.00	$642.64	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.37 / $1,087.42 / $1,235.70	Professional		$384.37	$1,087.42	$1,235.70
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 $1,008.33 / $1,302.57 / $1,827.24	Professional		$1,008.33	$1,302.57	$1,827.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $439.42 / $2,500.00 / $6,063.00	Professional		$439.42	$2,500.00	$6,063.00