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 $526.41 / $724.30 / $1,296.94	Professional		$526.41	$724.30	$1,296.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.11 / $1,005.36 / $1,206.44	Professional		$790.11	$1,005.36	$1,206.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $926.75 / $1,083.72 / $1,260.67	Professional		$926.75	$1,083.72	$1,260.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.37 / $881.42 / $1,005.36	Professional		$646.37	$881.42	$1,005.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.38 / $1,005.36 / $1,328.61	Professional		$820.38	$1,005.36	$1,328.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $716.95 / $3,098.10 / $8,000.00	Professional		$716.95	$3,098.10	$8,000.00