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 $582.13 / $681.51 / $681.51	Professional		$582.13	$681.51	$681.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.95 / $1,005.11 / $1,005.11	Professional		$746.95	$1,005.11	$1,005.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,107.84 / $1,274.68 / $6,874.20	Professional		$1,107.84	$1,274.68	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.50 / $964.91 / $1,125.73	Professional		$884.50	$964.91	$1,125.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.17 / $1,005.11 / $1,264.02	Professional		$820.17	$1,005.11	$1,264.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $914.55 / $3,692.19 / $9,324.00	Professional		$914.55	$3,692.19	$9,324.00