Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $690.04 / $1,318.30	Professional		$568.95	$690.04	$1,318.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.26 / $1,049.33 / $1,259.21	Professional		$856.26	$1,049.33	$1,259.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,039.23 / $1,201.03 / $1,597.02	Professional		$1,039.23	$1,201.03	$1,597.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.22 / $923.42 / $1,049.33	Professional		$729.22	$923.42	$1,049.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.26 / $1,049.33 / $2,034.86	Professional		$856.26	$1,049.33	$2,034.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $692.82 / $2,575.00 / $6,124.00	Professional		$692.82	$2,575.00	$6,124.00