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 $836.19 / $915.36 / $1,510.45	Professional		$836.19	$915.36	$1,510.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.74 / $1,749.74 / $1,749.74	Facility		$1,749.74	$1,749.74	$1,749.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.78 / $1,155.42 / $2,068.77	Professional		$918.78	$1,155.42	$2,068.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,240.52 / $1,393.77 / $1,678.36	Professional		$1,240.52	$1,393.77	$1,678.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.55 / $1,127.04 / $1,314.88	Professional		$995.55	$1,127.04	$1,314.88
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 $837.75 / $1,174.00 / $1,497.79	Professional		$837.75	$1,174.00	$1,497.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $847.73 / $3,692.19 / $9,324.00	Professional		$847.73	$3,692.19	$9,324.00