Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $736.55 / $3,734.45	Professional		$428.75	$736.55	$3,734.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,403.17 / $2,781.46 / $3,337.76	Professional		$2,403.17	$2,781.46	$3,337.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $712.88 / $821.12 / $3,171.01	Professional		$712.88	$821.12	$3,171.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.31 / $2,225.17 / $2,781.46	Professional		$503.31	$2,225.17	$2,781.46
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 $2,178.81 / $2,781.46 / $4,125.80	Professional		$2,178.81	$2,781.46	$4,125.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $403.96 / $603.57 / $3,263.00	Professional		$403.96	$603.57	$3,263.00