Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.61 / $777.61 / $777.61	Professional		$777.61	$777.61	$777.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.14 / $908.73 / $1,090.47	Professional		$785.14	$908.73	$1,090.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $892.35 / $1,002.58 / $7,637.00	Professional		$892.35	$1,002.58	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.68 / $872.38 / $1,017.77	Professional		$799.68	$872.38	$1,017.77
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 $594.13 / $873.38 / $1,056.81	Professional		$594.13	$873.38	$1,056.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $2,040.00 / $5,304.00	Professional		$672.00	$2,040.00	$5,304.00