Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Professional		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.70 / $958.74 / $1,150.49	Professional		$750.70	$958.74	$1,150.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,015.07 / $1,140.46 / $1,326.11	Professional		$1,015.07	$1,140.46	$1,326.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.69 / $920.39 / $1,073.79	Professional		$843.69	$920.39	$1,073.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.54 / $958.74 / $1,264.92	Professional		$770.54	$958.74	$1,264.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $930.32 / $5,316.74 / $11,157.30	Professional		$930.32	$5,316.74	$11,157.30