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 $495.74 / $799.87 / $1,514.91	Professional		$495.74	$799.87	$1,514.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.59 / $1,207.83 / $1,449.39	Professional		$985.59	$1,207.83	$1,449.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,273.49 / $1,433.51 / $6,874.20	Professional		$1,273.49	$1,433.51	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.17 / $1,062.89 / $1,207.83	Professional		$900.17	$1,062.89	$1,207.83
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 $985.59 / $1,207.83 / $2,383.69	Professional		$985.59	$1,207.83	$2,383.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $805.93 / $2,575.00 / $6,124.00	Professional		$805.93	$2,575.00	$6,124.00