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 $198.25 / $864.12 / $1,647.84	Professional		$198.25	$864.12	$1,647.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.81 / $1,275.79 / $2,465.87	Professional		$243.81	$1,275.79	$2,465.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $356.92 / $419.80 / $2,608.21	Professional		$356.92	$419.80	$2,608.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $1,020.63 / $1,326.82	Professional		$211.83	$1,020.63	$1,326.82
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 $1,102.28 / $1,275.79 / $3,267.81	Professional		$1,102.28	$1,275.79	$3,267.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.20 / $1,348.06 / $5,970.00	Professional		$189.20	$1,348.06	$5,970.00