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 $724.91 / $809.13 / $3,858.59	Professional		$724.91	$809.13	$3,858.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.31 / $1,049.99 / $1,049.99	Professional		$902.31	$1,049.99	$1,049.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $1,028.84 / $1,148.43	Professional		$72.06	$1,028.84	$1,148.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.99 / $1,007.99 / $1,175.99	Professional		$923.99	$1,007.99	$1,175.99
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 $988.92 / $1,049.99 / $1,406.61	Professional		$988.92	$1,049.99	$1,406.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $774.18 / $1,547.31	Professional		$29.27	$774.18	$1,547.31