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 $578.48 / $692.41 / $1,051.10	Professional		$578.48	$692.41	$1,051.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.19 / $1,014.94 / $1,217.93	Professional		$828.19	$1,014.94	$1,217.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,019.47 / $1,176.33 / $3,935.00	Professional		$1,019.47	$1,176.33	$3,935.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.79 / $893.15 / $1,014.94	Professional		$728.79	$893.15	$1,014.94
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 $828.19 / $1,014.94 / $2,056.26	Professional		$828.19	$1,014.94	$2,056.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $695.68 / $2,575.00 / $6,124.00	Professional		$695.68	$2,575.00	$6,124.00