Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.63 / $916.11 / $975.87	Professional		$813.63	$916.11	$975.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.04 / $1,129.21 / $1,129.21	Professional		$905.04	$1,129.21	$1,129.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,224.04 / $1,408.37 / $6,874.20	Professional		$1,224.04	$1,408.37	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.71 / $1,084.04 / $1,264.72	Professional		$993.71	$1,084.04	$1,264.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.44 / $1,129.21 / $1,478.82	Professional		$921.44	$1,129.21	$1,478.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $1,249.78 / $11,236.00	Professional		$157.44	$1,249.78	$11,236.00