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 $825.88 / $825.88 / $825.88	Professional		$825.88	$825.88	$825.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.78 / $1,086.05 / $1,303.26	Professional		$860.78	$1,086.05	$1,303.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,168.25 / $1,312.56 / $5,851.00	Professional		$1,168.25	$1,312.56	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $955.72 / $1,042.60 / $1,216.38	Professional		$955.72	$1,042.60	$1,216.38
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 $886.22 / $1,086.05 / $1,347.24	Professional		$886.22	$1,086.05	$1,347.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $3,191.04 / $8,000.00	Professional		$1,045.15	$3,191.04	$8,000.00