Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $7,424.00	Facility		$2,528.00	$2,747.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,465.59 / $2,248.76	Professional		$1,291.35	$1,465.59	$2,248.76
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $199.32 / $199.32 / $199.32	Professional	AS	$199.32	$199.32	$199.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.38 / $1,795.55 / $2,154.66	Professional		$1,396.38	$1,795.55	$2,154.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,975.74 / $2,219.80 / $13,983.00	Professional		$1,975.74	$2,219.80	$13,983.00
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $335.88 / $367.58 / $433.97	Professional	AS	$335.88	$367.58	$433.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,580.08 / $1,723.73 / $2,011.02	Professional		$1,580.08	$1,723.73	$2,011.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.17 / $1,795.55 / $2,319.98	Professional		$1,465.17	$1,795.55	$2,319.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,293.00 / $10,610.00 / $14,841.00	Professional		$1,293.00	$10,610.00	$14,841.00