Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.41 / $812.41 / $812.41	Professional		$812.41	$812.41	$812.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.60 / $1,046.50 / $1,255.80	Professional		$809.60	$1,046.50	$1,255.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,092.08 / $1,156.33 / $1,329.78	Professional		$1,092.08	$1,156.33	$1,329.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.92 / $1,004.64 / $1,172.08	Professional		$920.92	$1,004.64	$1,172.08
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 $831.64 / $1,046.50 / $1,325.73	Professional		$831.64	$1,046.50	$1,325.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $774.09 / $3,619.79 / $9,324.00	Professional		$774.09	$3,619.79	$9,324.00