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 $964.70 / $964.70 / $1,026.67	Professional		$964.70	$964.70	$1,026.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.08 / $1,262.95 / $1,515.54	Professional		$984.08	$1,262.95	$1,515.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,452.19 / $1,631.58 / $5,851.00	Professional		$1,452.19	$1,631.58	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.40 / $1,212.43 / $1,414.50	Professional		$1,111.40	$1,212.43	$1,414.50
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 $1,030.57 / $1,262.95 / $1,720.89	Professional		$1,030.57	$1,262.95	$1,720.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $968.00 / $2,099.00 / $5,304.00	Professional		$968.00	$2,099.00	$5,304.00