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 $733.03 / $945.38 / $1,329.54	Professional		$733.03	$945.38	$1,329.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.74 / $1,298.70 / $1,558.44	Professional		$1,059.74	$1,298.70	$1,558.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,302.68 / $1,540.42 / $5,092.00	Professional		$1,302.68	$1,540.42	$5,092.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.05 / $1,142.85 / $1,298.70	Professional		$920.05	$1,142.85	$1,298.70
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 $1,059.74 / $1,298.70 / $2,563.17	Professional		$1,059.74	$1,298.70	$2,563.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $879.03 / $2,575.00 / $6,124.00	Professional		$879.03	$2,575.00	$6,124.00