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 $732.60 / $732.60 / $732.60	Professional		$732.60	$732.60	$732.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.31 / $1,080.54 / $1,296.65	Professional		$852.31	$1,080.54	$1,296.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,157.36 / $1,300.33 / $5,851.00	Professional		$1,157.36	$1,300.33	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.87 / $1,037.32 / $1,210.20	Professional		$950.87	$1,037.32	$1,210.20
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 $807.22 / $1,080.54 / $1,310.88	Professional		$807.22	$1,080.54	$1,310.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $969.39 / $3,191.04 / $8,000.00	Professional		$969.39	$3,191.04	$8,000.00