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 $804.25 / $969.77 / $1,480.74	Professional		$804.25	$969.77	$1,480.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.68 / $1,175.08 / $1,410.09	Professional		$908.68	$1,175.08	$1,410.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,227.26 / $1,378.87 / $8,430.00	Professional		$1,227.26	$1,378.87	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,034.07 / $1,128.07 / $1,316.08	Professional		$1,034.07	$1,128.07	$1,316.08
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 $958.86 / $1,175.08 / $1,494.08	Professional		$958.86	$1,175.08	$1,494.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,123.85 / $3,900.00 / $8,000.00	Professional		$1,123.85	$3,900.00	$8,000.00