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 $727.92 / $727.92 / $727.92	Professional		$727.92	$727.92	$727.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.25 / $1,102.25 / $1,322.70	Professional		$831.25	$1,102.25	$1,322.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.61 / $1,204.00 / $3,857.00	Professional		$1,071.61	$1,204.00	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.98 / $1,058.16 / $1,234.52	Professional		$969.98	$1,058.16	$1,234.52
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 $770.66 / $1,102.25 / $1,363.37	Professional		$770.66	$1,102.25	$1,363.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $897.49 / $3,191.04 / $8,000.00	Professional		$897.49	$3,191.04	$8,000.00