Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.41 / $2,090.75 / $4,456.00	Facility		$1,420.41	$2,090.75	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.74 / $1,143.60 / $3,718.34	Professional		$446.74	$1,143.60	$3,718.34
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $727.08 / $727.08 / $920.60	Professional	AS	$727.08	$727.08	$920.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.59 / $1,391.66 / $1,670.00	Professional		$1,135.59	$1,391.66	$1,670.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,376.73 / $1,606.38 / $2,139.51	Professional		$1,376.73	$1,606.38	$2,139.51
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $234.04 / $263.45 / $289.80	Professional	AS	$234.04	$263.45	$289.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.01 / $1,224.66 / $1,391.66	Professional		$963.01	$1,224.66	$1,391.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.06 / $1,407.14 / $2,777.72	Professional		$1,303.06	$1,407.14	$2,777.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $938.58 / $1,309.88	Professional		$29.27	$938.58	$1,309.88