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 $209.46 / $370.17 / $4,016.50	Professional		$209.46	$370.17	$4,016.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $3,559.75 / $3,644.33	Professional		$283.62	$3,559.75	$3,644.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $379.58 / $470.01 / $4,689.57	Professional		$379.58	$470.01	$4,689.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $3,207.01 / $4,081.64	Professional		$262.22	$3,207.01	$4,081.64
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 $2,973.77 / $4,138.88 / $6,021.68	Professional		$2,973.77	$4,138.88	$6,021.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $550.65 / $4,405.21 / $6,487.00	Professional		$550.65	$4,405.21	$6,487.00