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 $840.91 / $840.91 / $840.91	Professional		$840.91	$840.91	$840.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.33 / $951.78 / $1,142.13	Professional		$822.33	$951.78	$1,142.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $976.76 / $1,114.18 / $4,765.00	Professional		$976.76	$1,114.18	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.56 / $913.70 / $1,065.99	Professional		$837.56	$913.70	$1,065.99
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 $706.11 / $924.56 / $1,221.61	Professional		$706.11	$924.56	$1,221.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $908.89 / $3,900.00 / $8,000.00	Professional		$908.89	$3,900.00	$8,000.00