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 $663.25 / $663.25 / $813.43	Professional		$663.25	$663.25	$813.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.53 / $1,042.04 / $1,250.45	Professional		$815.53	$1,042.04	$1,250.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,005.67 / $1,182.82 / $1,286.00	Professional		$1,005.67	$1,182.82	$1,286.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.35 / $916.99 / $1,042.04	Professional		$720.35	$916.99	$1,042.04
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 $792.90 / $1,042.04 / $1,283.84	Professional		$792.90	$1,042.04	$1,283.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $746.99 / $4,635.00 / $11,157.00	Professional		$746.99	$4,635.00	$11,157.00