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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.69 / $1,114.81 / $1,337.78	Professional		$909.69	$1,114.81	$1,337.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,162.45 / $1,306.05 / $4,765.00	Professional		$1,162.45	$1,306.05	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.04 / $1,070.22 / $1,248.58	Professional		$981.04	$1,070.22	$1,248.58
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 $909.69 / $1,114.81 / $2,295.48	Professional		$909.69	$1,114.81	$2,295.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $2,650.00 / $6,124.00	Professional		$1,005.00	$2,650.00	$6,124.00