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 $306.45 / $1,332.55 / $1,796.88	Professional		$306.45	$1,332.55	$1,796.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.04 / $1,473.16 / $1,598.50	Professional		$387.04	$1,473.16	$1,598.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $489.74 / $606.40 / $5,879.00	Professional		$489.74	$606.40	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.50 / $1,406.68 / $1,598.50	Professional		$362.50	$1,406.68	$1,598.50
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 $1,304.38 / $1,598.50 / $2,230.21	Professional		$1,304.38	$1,598.50	$2,230.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $414.64 / $2,507.73 / $6,063.00	Professional		$414.64	$2,507.73	$6,063.00