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 $911.24 / $911.24 / $911.24	Professional		$911.24	$911.24	$911.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.22 / $1,186.06 / $1,423.28	Professional		$939.22	$1,186.06	$1,423.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,278.63 / $1,399.32 / $1,652.07	Professional		$1,278.63	$1,399.32	$1,652.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.74 / $1,138.61 / $1,328.39	Professional		$1,043.74	$1,138.61	$1,328.39
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 $967.83 / $1,186.06 / $1,478.04	Professional		$967.83	$1,186.06	$1,478.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,147.25 / $3,191.04 / $8,000.00	Professional		$1,147.25	$3,191.04	$8,000.00