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 $619.74 / $686.66 / $1,111.26	Professional		$619.74	$686.66	$1,111.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,267.63 / $3,267.63 / $3,267.63	Facility		$3,267.63	$3,267.63	$3,267.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.62 / $880.19 / $1,643.76	Professional		$684.62	$880.19	$1,643.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $943.47 / $1,060.01 / $1,276.45	Professional		$943.47	$1,060.01	$1,276.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.40 / $844.98 / $985.81	Professional		$746.40	$844.98	$985.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.76 / $880.19 / $1,151.77	Professional		$656.76	$880.19	$1,151.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $617.15 / $9,435.00 / $12,953.00	Professional		$617.15	$9,435.00	$12,953.00