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 $616.03 / $656.25 / $1,384.45	Professional		$616.03	$656.25	$1,384.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.54 / $1,068.91 / $1,282.70	Professional		$923.54	$1,068.91	$1,282.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,140.21 / $1,281.06 / $7,637.00	Professional		$1,140.21	$1,281.06	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.64 / $1,026.16 / $1,197.18	Professional		$940.64	$1,026.16	$1,197.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.46 / $1,032.75 / $1,308.17	Professional		$742.46	$1,032.75	$1,308.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $778.93 / $2,709.00 / $6,487.00	Professional		$778.93	$2,709.00	$6,487.00