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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.62 / $631.62 / $746.21	Professional		$631.62	$631.62	$746.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.07 / $1,025.83 / $1,230.99	Professional		$837.07	$1,025.83	$1,230.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,073.67 / $1,234.09 / $1,419.22	Professional		$1,073.67	$1,234.09	$1,419.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.97 / $902.73 / $1,025.83	Professional		$746.97	$902.73	$1,025.83
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 $772.97 / $1,005.14 / $1,279.38	Professional		$772.97	$1,005.14	$1,279.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $928.23 / $6,283.00	Professional		$141.37	$928.23	$6,283.00