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 $114.45 / $679.05 / $1,361.48	Professional		$114.45	$679.05	$1,361.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $1,045.58 / $1,999.67	Professional		$143.38	$1,045.58	$1,999.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $216.26 / $1,966.25	Professional		$179.10	$216.26	$1,966.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $1,319.47 / $1,715.31	Professional		$126.41	$1,319.47	$1,715.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.01 / $1,648.59 / $2,046.18	Professional		$1,036.01	$1,648.59	$2,046.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $1,732.43 / $6,553.00	Professional		$133.97	$1,732.43	$6,553.00