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 $844.46 / $844.46 / $844.46	Professional		$844.46	$844.46	$844.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.72 / $1,131.46 / $1,357.76	Professional		$893.72	$1,131.46	$1,357.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,214.68 / $1,364.73 / $5,851.00	Professional		$1,214.68	$1,364.73	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.69 / $1,086.20 / $1,267.24	Professional		$995.69	$1,086.20	$1,267.24
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 $898.55 / $1,131.46 / $1,394.70	Professional		$898.55	$1,131.46	$1,394.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,015.25 / $3,191.04 / $8,000.00	Professional		$1,015.25	$3,191.04	$8,000.00