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 $645.32 / $852.23 / $1,289.73	Professional		$645.32	$852.23	$1,289.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.93 / $1,015.85 / $1,219.02	Professional		$828.93	$1,015.85	$1,219.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,083.25 / $1,189.08 / $2,518.19	Professional		$1,083.25	$1,189.08	$2,518.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.95 / $975.22 / $1,137.75	Professional		$893.95	$975.22	$1,137.75
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 $828.93 / $1,015.85 / $1,973.28	Professional		$828.93	$1,015.85	$1,973.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $2,650.00 / $6,124.00	Professional		$944.47	$2,650.00	$6,124.00