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 $747.71 / $927.90 / $1,631.71	Professional		$747.71	$927.90	$1,631.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.00 / $1,301.48 / $1,561.77	Professional		$1,062.00	$1,301.48	$1,561.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,350.12 / $1,528.42 / $5,851.00	Professional		$1,350.12	$1,528.42	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $955.20 / $1,145.30 / $1,301.48	Professional		$955.20	$1,145.30	$1,301.48
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 $1,062.00 / $1,301.48 / $2,579.56	Professional		$1,062.00	$1,301.48	$2,579.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $871.92 / $2,000.00 / $5,304.00	Professional		$871.92	$2,000.00	$5,304.00