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 $437.64 / $437.69 / $2,124.62	Professional		$437.64	$437.69	$2,124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.70 / $2,122.31 / $2,208.31	Professional		$518.70	$2,122.31	$2,208.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $733.50 / $867.36 / $2,926.69	Professional		$733.50	$867.36	$2,926.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.52 / $1,867.64 / $2,376.98	Professional		$500.52	$1,867.64	$2,376.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,731.81 / $2,180.92 / $3,114.90	Professional		$1,731.81	$2,180.92	$3,114.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $557.46 / $8,240.00 / $12,905.00	Professional		$557.46	$8,240.00	$12,905.00