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 $602.41 / $723.02 / $723.02	Professional		$602.41	$723.02	$723.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.84 / $1,040.06 / $1,040.06	Professional		$775.84	$1,040.06	$1,040.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,120.30 / $1,318.00 / $1,485.25	Professional		$1,120.30	$1,318.00	$1,485.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.26 / $998.46 / $1,164.86	Professional		$915.26	$998.46	$1,164.86
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 $848.69 / $1,040.06 / $1,288.79	Professional		$848.69	$1,040.06	$1,288.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,026.76 / $3,900.00 / $8,000.00	Professional		$1,026.76	$3,900.00	$8,000.00