Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.63 / $1,175.80 / $4,710.00	Professional		$966.63	$1,175.80	$4,710.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.81 / $1,308.64 / $1,785.10	Professional		$1,094.81	$1,308.64	$1,785.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,267.59 / $1,546.82 / $20,261.00	Professional		$1,267.59	$1,546.82	$20,261.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.44 / $1,051.02 / $1,226.19	Professional		$963.44	$1,051.02	$1,226.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Facility		$3,960.00	$3,960.00	$3,960.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.37 / $1,345.68 / $1,753.91	Professional		$893.37	$1,345.68	$1,753.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $943.54 / $4,824.31 / $25,988.00	Professional		$943.54	$4,824.31	$25,988.00