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 $414.81 / $4,437.97 / $7,998.78	Professional		$414.81	$4,437.97	$7,998.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $5,018.72 / $5,946.60	Professional		$524.04	$5,018.72	$5,946.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $795.40 / $916.17 / $1,117.11	Professional		$795.40	$916.17	$1,117.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.24 / $5,233.01 / $5,946.60	Professional		$477.24	$5,233.01	$5,946.60
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 $4,852.43 / $5,976.32 / $8,580.29	Professional		$4,852.43	$5,976.32	$8,580.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $498.72 / $6,250.64 / $9,125.00	Professional		$498.72	$6,250.64	$9,125.00