Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $4,456.00 / $4,456.00	Facility		$1,324.03	$4,456.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $476.36 / $1,864.56	Professional		$317.14	$476.36	$1,864.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,244.58 / $1,244.58 / $1,244.58	Facility		$1,244.58	$1,244.58	$1,244.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.53 / $557.91 / $1,246.08	Professional		$368.53	$557.91	$1,246.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $563.73 / $670.65 / $817.61	Professional		$563.73	$670.65	$817.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.42 / $552.59 / $704.28	Professional		$396.42	$552.59	$704.28
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 $461.28 / $677.19 / $859.29	Professional		$461.28	$677.19	$859.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $442.19 / $2,500.00 / $6,063.00	Professional		$442.19	$2,500.00	$6,063.00