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 $129.66 / $558.66 / $850.46	Professional		$129.66	$558.66	$850.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $672.82 / $1,374.09	Professional		$157.13	$672.82	$1,374.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $217.84 / $257.58 / $1,265.84	Professional		$217.84	$257.58	$1,265.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $670.00 / $857.52	Professional		$138.93	$670.00	$857.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.82 / $824.54 / $1,320.32	Professional		$672.82	$824.54	$1,320.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $979.08 / $3,580.00	Professional		$122.39	$979.08	$3,580.00