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 $815.88 / $869.07 / $3,516.76	Professional		$815.88	$869.07	$3,516.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.54 / $898.48 / $1,021.78	Professional		$836.54	$898.48	$1,021.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,208.76 / $1,390.78 / $8,902.00	Professional		$1,208.76	$1,390.78	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $790.66 / $862.54 / $1,006.29	Professional		$790.66	$862.54	$1,006.29
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 $733.16 / $898.48 / $1,164.71	Professional		$733.16	$898.48	$1,164.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $739.62 / $3,900.00 / $8,000.00	Professional		$739.62	$3,900.00	$8,000.00