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 $914.75 / $914.75 / $1,438.00	Professional		$914.75	$914.75	$1,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.96 / $1,134.75 / $1,361.70	Professional		$925.96	$1,134.75	$1,361.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,183.51 / $1,295.22 / $1,569.06	Professional		$1,183.51	$1,295.22	$1,569.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $998.58 / $1,089.35 / $1,270.92	Professional		$998.58	$1,089.35	$1,270.92
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 $989.35 / $1,134.75 / $2,340.96	Professional		$989.35	$1,134.75	$2,340.96
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