Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.84 / $807.84 / $807.84	Professional		$807.84	$807.84	$807.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.78 / $1,018.84 / $1,222.60	Professional		$787.78	$1,018.84	$1,222.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,061.91 / $1,193.08 / $10,286.10	Professional		$1,061.91	$1,193.08	$10,286.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.58 / $978.08 / $1,141.09	Professional		$896.58	$978.08	$1,141.09
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 $803.99 / $1,018.84 / $1,282.94	Professional		$803.99	$1,018.84	$1,282.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $824.22 / $3,619.79 / $9,324.00	Professional		$824.22	$3,619.79	$9,324.00