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 $802.75 / $802.75 / $802.75	Professional		$802.75	$802.75	$802.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.59 / $1,003.30 / $1,203.96	Professional		$782.59	$1,003.30	$1,203.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,056.23 / $1,155.93 / $1,364.71	Professional		$1,056.23	$1,155.93	$1,364.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.90 / $963.17 / $1,123.70	Professional		$882.90	$963.17	$1,123.70
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 $815.35 / $1,003.30 / $1,308.85	Professional		$815.35	$1,003.30	$1,308.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $968.00 / $2,650.00 / $5,304.00	Professional		$968.00	$2,650.00	$5,304.00