Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,705.00 / $7,195.23	Facility		$1,486.00	$4,705.00	$7,195.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.56 / $563.69 / $905.31	Professional		$269.56	$563.69	$905.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.40 / $1,088.40 / $1,088.40	Facility		$1,088.40	$1,088.40	$1,088.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.30 / $692.02 / $1,372.60	Professional		$323.30	$692.02	$1,372.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $495.67 / $598.50 / $1,147.60	Professional		$495.67	$598.50	$1,147.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $687.17 / $893.32	Professional		$276.33	$687.17	$893.32
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 $620.61 / $858.96 / $1,191.21	Professional		$620.61	$858.96	$1,191.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $345.64 / $1,958.52 / $5,287.00	Professional		$345.64	$1,958.52	$5,287.00