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 $567.97 / $567.97 / $668.67	Professional		$567.97	$567.97	$668.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.63 / $1,273.20 / $1,527.84	Professional		$903.63	$1,273.20	$1,527.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,022.15 / $1,174.89 / $1,304.68	Professional		$1,022.15	$1,174.89	$1,304.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $910.27 / $1,120.42 / $1,273.20	Professional		$910.27	$1,120.42	$1,273.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.27 / $1,252.82 / $1,513.71	Professional		$724.27	$1,252.82	$1,513.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $848.82 / $1,981.00 / $5,304.00	Professional		$848.82	$1,981.00	$5,304.00