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 $872.29 / $872.29 / $872.29	Professional		$872.29	$872.29	$872.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.78 / $1,145.69 / $1,374.83	Professional		$886.78	$1,145.69	$1,374.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,197.79 / $1,310.85 / $1,547.61	Professional		$1,197.79	$1,310.85	$1,547.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.21 / $1,099.85 / $1,283.17	Professional		$1,008.21	$1,099.85	$1,283.17
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 $909.62 / $1,145.69 / $1,450.23	Professional		$909.62	$1,145.69	$1,450.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.24 / $3,191.04 / $8,000.00	Professional		$967.24	$3,191.04	$8,000.00