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 $280.69 / $518.26 / $2,847.35	Professional		$280.69	$518.26	$2,847.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.60 / $701.10 / $5,576.91	Professional		$321.60	$701.10	$5,576.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $526.62 / $619.38 / $1,039.36	Professional		$526.62	$619.38	$1,039.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.61 / $2,530.82 / $3,290.07	Professional		$287.61	$2,530.82	$3,290.07
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 $1,294.74 / $3,163.53 / $5,081.28	Professional		$1,294.74	$3,163.53	$5,081.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.55 / $2,021.27 / $4,302.14	Professional		$302.55	$2,021.27	$4,302.14