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 $232.35 / $239.29 / $1,751.77	Professional		$232.35	$239.29	$1,751.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.19 / $1,670.65 / $3,120.06	Professional		$277.19	$1,670.65	$3,120.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $345.54 / $398.00 / $2,964.04	Professional		$345.54	$398.00	$2,964.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.05 / $2,745.66 / $3,494.47	Professional		$244.05	$2,745.66	$3,494.47
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 $2,545.96 / $3,120.06 / $3,659.43	Professional		$2,545.96	$3,120.06	$3,659.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $241.88 / $465.51 / $3,694.95	Professional		$241.88	$465.51	$3,694.95