Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $238.50 / $1,375.07	Professional		$209.88	$238.50	$1,375.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.51 / $1,359.51 / $1,632.31	Professional		$264.51	$1,359.51	$1,632.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $334.69 / $395.77 / $12,717.00	Professional		$334.69	$395.77	$12,717.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $1,436.44 / $1,828.19	Professional		$223.44	$1,436.44	$1,828.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,331.97 / $1,634.10 / $2,354.09	Professional		$1,331.97	$1,634.10	$2,354.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.19 / $4,237.00 / $5,675.00	Professional		$225.19	$4,237.00	$5,675.00