Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $612.11	Professional		$612.11	$612.11	$612.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.87 / $844.31 / $1,013.18	Professional		$651.87	$844.31	$1,013.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $878.30 / $961.19 / $6,352.00	Professional		$878.30	$961.19	$6,352.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.00 / $810.54 / $945.63	Professional		$743.00	$810.54	$945.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.21 / $844.31 / $1,060.50	Professional		$663.21	$844.31	$1,060.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $647.96 / $2,000.00 / $5,304.00	Professional		$647.96	$2,000.00	$5,304.00