Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.76 / $885.02 / $1,356.29	Professional		$436.76	$885.02	$1,356.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.29 / $1,311.63 / $1,573.95	Professional		$1,070.29	$1,311.63	$1,573.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,336.92 / $1,539.91 / $5,851.00	Professional		$1,336.92	$1,539.91	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $941.64 / $1,154.23 / $1,311.63	Professional		$941.64	$1,154.23	$1,311.63
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 $1,070.29 / $1,311.63 / $2,580.78	Professional		$1,070.29	$1,311.63	$2,580.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $878.83 / $2,000.00 / $5,304.00	Professional		$878.83	$2,000.00	$5,304.00