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 $816.87 / $816.87 / $816.87	Professional		$816.87	$816.87	$816.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.51 / $1,065.74 / $1,278.89	Professional		$829.51	$1,065.74	$1,278.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,121.42 / $1,259.95 / $1,465.06	Professional		$1,121.42	$1,259.95	$1,465.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $937.85 / $1,023.11 / $1,193.63	Professional		$937.85	$1,023.11	$1,193.63
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 $805.09 / $1,065.74 / $1,367.48	Professional		$805.09	$1,065.74	$1,367.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $864.73 / $5,316.74 / $11,157.30	Professional		$864.73	$5,316.74	$11,157.30