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 $840.71 / $840.71 / $840.71	Professional		$840.71	$840.71	$840.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.75 / $1,058.58 / $1,270.31	Professional		$818.75	$1,058.58	$1,270.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,103.83 / $1,208.02 / $1,426.21	Professional		$1,103.83	$1,208.02	$1,426.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.56 / $1,016.24 / $1,185.61	Professional		$931.56	$1,016.24	$1,185.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.76 / $1,058.58 / $1,334.43	Professional		$835.76	$1,058.58	$1,334.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $974.29 / $3,191.04 / $8,000.00	Professional		$974.29	$3,191.04	$8,000.00