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 $760.94 / $1,056.81 / $1,407.16	Professional		$760.94	$1,056.81	$1,407.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.15 / $1,094.55 / $1,313.46	Professional		$893.15	$1,094.55	$1,313.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,117.10 / $1,262.33 / $5,851.00	Professional		$1,117.10	$1,262.33	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.51 / $963.20 / $1,094.55	Professional		$782.51	$963.20	$1,094.55
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 $893.15 / $1,094.55 / $2,177.00	Professional		$893.15	$1,094.55	$2,177.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.74 / $2,000.00 / $5,304.00	Professional		$744.74	$2,000.00	$5,304.00