Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.42 / $829.42 / $829.42	Professional		$829.42	$829.42	$829.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.55 / $1,081.58 / $1,297.89	Professional		$850.55	$1,081.58	$1,297.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,205.83 / $1,354.78 / $1,575.33	Professional		$1,205.83	$1,354.78	$1,575.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $951.79 / $1,038.31 / $1,211.35	Professional		$951.79	$1,038.31	$1,211.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $882.57 / $1,081.58 / $1,445.28	Professional		$882.57	$1,081.58	$1,445.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,056.71 / $5,316.74 / $11,157.30	Professional		$1,056.71	$5,316.74	$11,157.30