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 $923.52 / $923.52 / $923.52	Professional		$923.52	$923.52	$923.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.13 / $1,143.85 / $1,372.64	Professional		$886.13	$1,143.85	$1,372.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,196.69 / $1,344.52 / $10,286.10	Professional		$1,196.69	$1,344.52	$10,286.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.60 / $1,098.10 / $1,281.13	Professional		$1,006.60	$1,098.10	$1,281.13
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 $922.10 / $1,143.85 / $1,449.17	Professional		$922.10	$1,143.85	$1,449.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $960.35 / $3,619.79 / $9,324.00	Professional		$960.35	$3,619.79	$9,324.00