Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.81 / $401.15 / $1,182.40	Professional		$293.81	$401.15	$1,182.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.15 / $1,303.71 / $1,861.65	Professional		$363.15	$1,303.71	$1,861.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $519.59 / $643.37 / $5,879.00	Professional		$519.59	$643.37	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.66 / $1,638.25 / $1,861.65	Professional		$387.66	$1,638.25	$1,861.65
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 $1,519.11 / $1,861.65 / $2,548.86	Professional		$1,519.11	$1,861.65	$2,548.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $439.92 / $2,507.73 / $6,063.00	Professional		$439.92	$2,507.73	$6,063.00