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 $820.19 / $820.19 / $972.36	Professional		$820.19	$820.19	$972.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.07 / $1,104.25 / $1,325.10	Professional		$901.07	$1,104.25	$1,325.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,177.01 / $1,330.02 / $3,935.00	Professional		$1,177.01	$1,330.02	$3,935.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.53 / $971.74 / $1,104.25	Professional		$804.53	$971.74	$1,104.25
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 $901.07 / $1,104.25 / $2,320.50	Professional		$901.07	$1,104.25	$2,320.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $783.62 / $2,575.00 / $6,124.00	Professional		$783.62	$2,575.00	$6,124.00