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 $438.88 / $2,864.63 / $4,673.02	Professional		$438.88	$2,864.63	$4,673.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.22 / $3,111.90 / $3,500.25	Professional		$546.22	$3,111.90	$3,500.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $666.02 / $787.57 / $12,802.00	Professional		$666.02	$787.57	$12,802.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.01 / $3,080.22 / $3,500.25	Professional		$480.01	$3,080.22	$3,500.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,856.20 / $3,937.16 / $5,823.74	Professional		$2,856.20	$3,937.16	$5,823.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $581.38 / $11,236.00	Professional		$73.23	$581.38	$11,236.00