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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.64 / $1,010.59 / $1,212.71	Professional		$824.64	$1,010.59	$1,212.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,067.97 / $1,168.78 / $1,415.88	Professional		$1,067.97	$1,168.78	$1,415.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.41 / $920.93 / $1,031.44	Professional		$810.41	$920.93	$1,031.44
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 $824.64 / $1,010.59 / $2,081.06	Professional		$824.64	$1,010.59	$2,081.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $729.82 / $2,000.00 / $5,304.00	Professional		$729.82	$2,000.00	$5,304.00