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 $336.30 / $407.35 / $1,778.04	Professional		$336.30	$407.35	$1,778.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.77 / $1,615.04 / $2,054.21	Professional		$443.77	$1,615.04	$2,054.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $530.52 / $627.34 / $9,552.00	Professional		$530.52	$627.34	$9,552.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $1,421.23 / $1,615.04	Professional		$369.00	$1,421.23	$1,615.04
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 $1,317.87 / $1,615.04 / $2,272.50	Professional		$1,317.87	$1,615.04	$2,272.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.95 / $432.13 / $1,922.18	Professional		$286.95	$432.13	$1,922.18