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 $876.98 / $876.98 / $876.98	Professional		$876.98	$876.98	$876.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.30 / $1,106.63 / $1,327.95	Professional		$856.30	$1,106.63	$1,327.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,155.69 / $1,264.77 / $1,493.22	Professional		$1,155.69	$1,264.77	$1,493.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $973.83 / $1,062.35 / $1,239.42	Professional		$973.83	$1,062.35	$1,239.42
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 $876.18 / $1,106.63 / $1,397.87	Professional		$876.18	$1,106.63	$1,397.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,022.24 / $3,191.04 / $8,000.00	Professional		$1,022.24	$3,191.04	$8,000.00