Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.22 / $637.26 / $786.84	Professional		$572.22	$637.26	$786.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.73 / $860.88 / $1,546.05	Professional		$656.73	$860.88	$1,546.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $924.50 / $1,038.71 / $1,194.52	Professional		$924.50	$1,038.71	$1,194.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.50 / $830.38 / $968.77	Professional		$733.50	$830.38	$968.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.89 / $864.98 / $1,209.51	Professional		$630.89	$864.98	$1,209.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $631.77 / $951.37	Professional		$118.92	$631.77	$951.37