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 $328.73 / $1,621.10 / $1,990.31	Professional		$328.73	$1,621.10	$1,990.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.38 / $1,921.13 / $1,961.56	Professional		$443.38	$1,921.13	$1,961.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $665.97 / $8,011.80	Professional		$525.00	$665.97	$8,011.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.66 / $1,690.59 / $1,921.13	Professional		$387.66	$1,690.59	$1,921.13
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 $1,567.64 / $1,925.11 / $2,713.67	Professional		$1,567.64	$1,925.11	$2,713.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $297.50 / $1,513.94 / $6,283.00	Professional		$297.50	$1,513.94	$6,283.00