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 $611.30 / $727.00 / $727.00	Professional		$611.30	$727.00	$727.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.51 / $1,064.38 / $1,064.38	Professional		$785.51	$1,064.38	$1,064.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,146.10 / $1,318.71 / $8,902.00	Professional		$1,146.10	$1,318.71	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.65 / $1,021.80 / $1,192.09	Professional		$936.65	$1,021.80	$1,192.09
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 $868.53 / $1,064.38 / $1,308.51	Professional		$868.53	$1,064.38	$1,308.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,050.42 / $3,900.00 / $8,000.00	Professional		$1,050.42	$3,900.00	$8,000.00