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 $930.82 / $1,466.54 / $5,095.85	Professional		$930.82	$1,466.54	$5,095.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.06 / $1,150.16 / $1,380.20	Professional		$891.06	$1,150.16	$1,380.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,199.72 / $1,347.93 / $5,851.00	Professional		$1,199.72	$1,347.93	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,012.14 / $1,104.16 / $1,288.18	Professional		$1,012.14	$1,104.16	$1,288.18
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 $938.53 / $1,150.16 / $1,445.73	Professional		$938.53	$1,150.16	$1,445.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,099.56 / $3,191.04 / $8,000.00	Professional		$1,099.56	$3,191.04	$8,000.00