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 $699.52 / $762.83 / $836.94	Professional		$699.52	$762.83	$836.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.37 / $1,042.13 / $1,250.55	Professional		$850.37	$1,042.13	$1,250.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,098.69 / $1,264.11 / $1,623.79	Professional		$1,098.69	$1,264.11	$1,623.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.54 / $917.07 / $1,042.13	Professional		$753.54	$917.07	$1,042.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.37 / $1,042.13 / $1,364.00	Professional		$850.37	$1,042.13	$1,364.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.26 / $1,958.52 / $5,287.00	Professional		$741.26	$1,958.52	$5,287.00