Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $15,949.46	Facility		$2,747.00	$6,966.00	$15,949.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.34 / $1,595.65 / $2,602.13	Professional		$1,243.34	$1,595.65	$2,602.13
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $148.71 / $148.71 / $911.08	Professional	AS	$148.71	$148.71	$911.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.24 / $1,595.65 / $1,914.78	Professional		$1,239.24	$1,595.65	$1,914.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,883.30 / $2,115.94 / $13,983.00	Professional		$1,883.30	$2,115.94	$13,983.00
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $320.16 / $350.38 / $389.84	Professional	AS	$320.16	$350.38	$389.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.17 / $1,531.82 / $1,787.13	Professional		$1,404.17	$1,531.82	$1,787.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,302.05 / $1,595.65 / $2,162.23	Professional		$1,302.05	$1,595.65	$2,162.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,478.62 / $9,814.00 / $12,953.00	Professional		$1,478.62	$9,814.00	$12,953.00