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 $575.03 / $936.23 / $1,537.42	Professional		$575.03	$936.23	$1,537.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.55 / $1,261.83 / $1,514.19	Professional		$977.55	$1,261.83	$1,514.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,319.80 / $1,482.84 / $5,851.00	Professional		$1,319.80	$1,482.84	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.41 / $1,211.34 / $1,413.24	Professional		$1,110.41	$1,211.34	$1,413.24
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 $1,014.07 / $1,261.83 / $1,594.53	Professional		$1,014.07	$1,261.83	$1,594.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,167.32 / $3,191.04 / $8,000.00	Professional		$1,167.32	$3,191.04	$8,000.00