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 $273.67 / $291.01 / $364.08	Professional		$273.67	$291.01	$364.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $382.60 / $1,208.79	Professional		$315.27	$382.60	$1,208.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $475.39 / $4,289.00 / $5,544.00	Professional		$475.39	$4,289.00	$5,544.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $670.00 / $670.00	Professional		$670.00	$670.00	$670.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $411.46 / $529.63	Professional		$280.75	$411.46	$529.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27