Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $906.28 / $1,474.62	Professional		$663.26	$906.28	$1,474.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.69 / $1,142.00 / $1,370.40	Professional		$986.69	$1,142.00	$1,370.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,184.27 / $1,330.56 / $7,637.00	Professional		$1,184.27	$1,330.56	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.79 / $1,004.96 / $1,187.68	Professional		$913.79	$1,004.96	$1,187.68
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 $829.41 / $1,103.06 / $1,457.64	Professional		$829.41	$1,103.06	$1,457.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $1,102.43 / $4,597.00	Professional		$154.72	$1,102.43	$4,597.00