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 $405.05 / $1,950.56 / $2,276.39	Professional		$405.05	$1,950.56	$2,276.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.30 / $2,025.52 / $2,175.04	Professional		$436.30	$2,025.52	$2,175.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $602.54 / $712.50 / $2,928.01	Professional		$602.54	$712.50	$2,928.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.32 / $1,914.03 / $2,436.04	Professional		$426.32	$1,914.03	$2,436.04
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 $1,774.83 / $2,175.04 / $3,107.67	Professional		$1,774.83	$2,175.04	$3,107.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $341.44 / $514.16 / $2,541.13	Professional		$341.44	$514.16	$2,541.13