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 $229.94 / $303.14 / $1,027.02	Professional		$229.94	$303.14	$1,027.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.91 / $938.62 / $1,178.48	Professional		$257.91	$938.62	$1,178.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $325.57 / $403.13 / $1,586.06	Professional		$325.57	$403.13	$1,586.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.13 / $1,037.06 / $1,319.89	Professional		$216.13	$1,037.06	$1,319.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.64 / $1,178.48 / $1,527.47	Professional		$961.64	$1,178.48	$1,527.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.61 / $3,709.33 / $6,487.00	Professional		$250.61	$3,709.33	$6,487.00