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 $598.16 / $779.79 / $1,717.72	Professional		$598.16	$779.79	$1,717.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.98 / $1,318.38 / $1,582.05	Professional		$1,031.98	$1,318.38	$1,582.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $942.60 / $1,114.61 / $1,590.14	Professional		$942.60	$1,114.61	$1,590.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $1,117.98 / $1,318.38	Professional		$671.62	$1,117.98	$1,318.38
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 $1,037.61 / $1,318.38 / $1,706.78	Professional		$1,037.61	$1,318.38	$1,706.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $784.07 / $3,520.00 / $9,057.00	Professional		$784.07	$3,520.00	$9,057.00