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 $705.86 / $882.75 / $1,395.50	Professional		$705.86	$882.75	$1,395.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.62 / $1,084.08 / $1,300.91	Professional		$884.62	$1,084.08	$1,300.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,070.82 / $1,233.40 / $1,520.56	Professional		$1,070.82	$1,233.40	$1,520.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.62 / $954.00 / $1,084.08	Professional		$751.62	$954.00	$1,084.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $884.62 / $1,084.08 / $2,134.54	Professional		$884.62	$1,084.08	$2,134.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $713.88 / $2,575.00 / $6,124.00	Professional		$713.88	$2,575.00	$6,124.00