Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.99 / $785.28 / $1,422.46	Professional		$646.99	$785.28	$1,422.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.79 / $1,110.04 / $1,332.05	Professional		$905.79	$1,110.04	$1,332.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,139.64 / $1,312.67 / $5,738.00	Professional		$1,139.64	$1,312.67	$5,738.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.68 / $976.83 / $1,110.04	Professional		$793.68	$976.83	$1,110.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.79 / $1,110.04 / $2,215.46	Professional		$905.79	$1,110.04	$2,215.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $759.76 / $2,000.00 / $5,309.00	Professional		$759.76	$2,000.00	$5,309.00