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 $907.58 / $907.58 / $907.58	Professional		$907.58	$907.58	$907.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.42 / $1,044.46 / $1,253.35	Professional		$902.42	$1,044.46	$1,253.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,100.94 / $1,204.85 / $1,459.59	Professional		$1,100.94	$1,204.85	$1,459.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.13 / $1,002.68 / $1,169.80	Professional		$919.13	$1,002.68	$1,169.80
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 $735.46 / $902.42 / $1,281.74	Professional		$735.46	$902.42	$1,281.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,009.03 / $3,900.00 / $8,000.00	Professional		$1,009.03	$3,900.00	$8,000.00