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 $807.40 / $807.40 / $807.40	Professional		$807.40	$807.40	$807.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.75 / $1,062.85 / $1,275.44	Professional		$821.75	$1,062.85	$1,275.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,108.20 / $1,212.80 / $1,431.85	Professional		$1,108.20	$1,212.80	$1,431.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.32 / $1,020.35 / $1,190.41	Professional		$935.32	$1,020.35	$1,190.41
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 $839.01 / $1,062.85 / $1,339.56	Professional		$839.01	$1,062.85	$1,339.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,015.67 / $3,900.00 / $8,000.00	Professional		$1,015.67	$3,900.00	$8,000.00