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 $296.93 / $427.49 / $5,054.34	Professional		$296.93	$427.49	$5,054.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.62 / $4,441.03 / $4,530.18	Professional		$382.62	$4,441.03	$4,530.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $466.88 / $552.09 / $12,802.00	Professional		$466.88	$552.09	$12,802.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.64 / $3,908.10 / $4,441.03	Professional		$338.64	$3,908.10	$4,441.03
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 $3,623.88 / $4,441.03 / $5,519.76	Professional		$3,623.88	$4,441.03	$5,519.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $364.61 / $7,208.00 / $9,934.00	Professional		$364.61	$7,208.00	$9,934.00