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 $380.88 / $418.54 / $521.86	Professional		$380.88	$418.54	$521.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $812.63 / $812.63	Facility		$812.63	$812.63	$812.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.54 / $518.30 / $1,016.13	Professional		$443.54	$518.30	$1,016.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $576.01 / $647.16 / $779.31	Professional		$576.01	$647.16	$779.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $479.62 / $559.54	Professional		$439.65	$479.62	$559.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.22 / $517.33 / $769.25	Professional		$406.22	$517.33	$769.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.33 / $1,500.00 / $3,725.00	Professional		$438.33	$1,500.00	$3,725.00