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 $212.75 / $1,265.57 / $3,179.13	Professional		$212.75	$1,265.57	$3,179.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.55 / $2,606.23 / $3,045.29	Professional		$286.55	$2,606.23	$3,045.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $426.59 / $10,394.00	Professional		$336.30	$426.59	$10,394.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.94 / $2,293.48 / $2,606.23	Professional		$247.94	$2,293.48	$2,606.23
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 $2,126.69 / $2,903.38 / $4,164.77	Professional		$2,126.69	$2,903.38	$4,164.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.68 / $4,147.00 / $5,401.00	Professional		$269.68	$4,147.00	$5,401.00