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 $881.49 / $881.49 / $881.49	Professional		$881.49	$881.49	$881.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.60 / $1,110.14 / $1,332.17	Professional		$865.60	$1,110.14	$1,332.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,167.38 / $1,311.59 / $5,851.00	Professional		$1,167.38	$1,311.59	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.92 / $1,065.73 / $1,243.34	Professional		$976.92	$1,065.73	$1,243.34
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 $897.50 / $1,110.14 / $1,444.17	Professional		$897.50	$1,110.14	$1,444.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,106.00 / $3,242.65 / $6,124.00	Professional		$1,106.00	$3,242.65	$6,124.00