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 $750.30 / $750.30 / $947.77	Professional		$750.30	$750.30	$947.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.61 / $1,040.93 / $1,249.10	Professional		$805.61	$1,040.93	$1,249.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,087.18 / $1,221.47 / $5,851.00	Professional		$1,087.18	$1,221.47	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $916.01 / $999.29 / $1,165.83	Professional		$916.01	$999.29	$1,165.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.39 / $1,040.93 / $1,319.54	Professional		$849.39	$1,040.93	$1,319.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.70 / $3,191.04 / $8,000.00	Professional		$967.70	$3,191.04	$8,000.00