Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.43 / $836.43 / $836.43	Professional		$836.43	$836.43	$836.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.67 / $1,182.83 / $1,419.41	Professional		$840.67	$1,182.83	$1,419.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,139.33 / $1,280.08 / $5,851.00	Professional		$1,139.33	$1,280.08	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,040.90 / $1,135.52 / $1,324.78	Professional		$1,040.90	$1,135.52	$1,324.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.64 / $1,182.83 / $1,364.78	Professional		$854.64	$1,182.83	$1,364.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $778.58 / $1,243.01	Professional		$29.27	$778.58	$1,243.01