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 $980.16 / $980.16 / $980.16	Professional		$980.16	$980.16	$980.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.45 / $1,226.55 / $1,471.86	Professional		$950.45	$1,226.55	$1,471.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,284.15 / $1,405.37 / $1,659.21	Professional		$1,284.15	$1,405.37	$1,659.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.35 / $1,177.49 / $1,373.74	Professional		$1,079.35	$1,177.49	$1,373.74
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 $978.90 / $1,226.55 / $1,558.86	Professional		$978.90	$1,226.55	$1,558.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,137.93 / $3,191.04 / $8,000.00	Professional		$1,137.93	$3,191.04	$8,000.00