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 $686.39 / $962.04 / $1,547.54	Professional		$686.39	$962.04	$1,547.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.28 / $1,202.55 / $1,443.06	Professional		$981.28	$1,202.55	$1,443.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,211.91 / $1,433.08 / $5,349.00	Professional		$1,211.91	$1,433.08	$5,349.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.10 / $1,058.24 / $1,202.55	Professional		$857.10	$1,058.24	$1,202.55
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 $981.28 / $1,202.55 / $2,386.32	Professional		$981.28	$1,202.55	$2,386.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $818.10 / $2,575.00 / $6,124.00	Professional		$818.10	$2,575.00	$6,124.00