Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.03 / $1,018.43 / $1,222.10	Professional		$831.03	$1,018.43	$1,222.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,063.91 / $1,164.33 / $1,410.50	Professional		$1,063.91	$1,164.33	$1,410.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.21 / $977.69 / $1,140.64	Professional		$896.21	$977.69	$1,140.64
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 $831.03 / $1,018.43 / $2,066.04	Professional		$831.03	$1,018.43	$2,066.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $727.04 / $4,057.27 / $8,007.00	Professional		$727.04	$4,057.27	$8,007.00