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 $193.30 / $696.39 / $1,080.99	Professional		$193.30	$696.39	$1,080.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.63 / $1,011.13 / $1,667.51	Professional		$235.63	$1,011.13	$1,667.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $315.32 / $380.74 / $1,614.28	Professional		$315.32	$380.74	$1,614.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.62 / $819.50 / $1,065.34	Professional		$223.62	$819.50	$1,065.34
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 $835.89 / $1,065.33 / $1,526.36	Professional		$835.89	$1,065.33	$1,526.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $274.75 / $1,206.47	Professional		$182.45	$274.75	$1,206.47