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 $194.14 / $732.63 / $1,190.51	Professional		$194.14	$732.63	$1,190.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $1,051.70 / $1,792.22	Professional		$245.60	$1,051.70	$1,792.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $316.12 / $381.71 / $1,666.72	Professional		$316.12	$381.71	$1,666.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $861.34 / $1,119.74	Professional		$216.08	$861.34	$1,119.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.57 / $1,076.68 / $1,688.29	Professional		$878.57	$1,076.68	$1,688.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $845.01 / $3,580.00	Professional		$159.06	$845.01	$3,580.00