Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.02 / $616.02 / $616.02	Professional		$616.02	$616.02	$616.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.97 / $1,571.64 / $1,885.97	Professional		$1,220.97	$1,571.64	$1,885.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $991.86 / $1,114.38 / $3,857.00	Professional		$991.86	$1,114.38	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.04 / $1,508.77 / $1,760.23	Professional		$1,383.04	$1,508.77	$1,760.23
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 $719.83 / $1,571.64 / $2,016.89	Professional		$719.83	$1,571.64	$2,016.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $719.69 / $2,000.00 / $5,304.00	Professional		$719.69	$2,000.00	$5,304.00