Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.36 / $1,407.83 / $2,788.07	Professional		$820.36	$1,407.83	$2,788.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.90 / $1,116.23 / $1,339.47	Professional		$860.90	$1,116.23	$1,339.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,158.81 / $1,268.20 / $1,497.25	Professional		$1,158.81	$1,268.20	$1,497.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.28 / $1,071.58 / $1,250.17	Professional		$982.28	$1,071.58	$1,250.17
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 $858.62 / $1,116.23 / $1,374.26	Professional		$858.62	$1,116.23	$1,374.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $791.89 / $1,183.18	Professional		$29.27	$791.89	$1,183.18