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 $831.22 / $831.22 / $831.22	Professional		$831.22	$831.22	$831.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.20 / $1,116.63 / $1,339.95	Professional		$847.20	$1,116.63	$1,339.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,132.82 / $1,239.75 / $1,463.67	Professional		$1,132.82	$1,239.75	$1,463.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.63 / $1,071.96 / $1,250.61	Professional		$982.63	$1,071.96	$1,250.61
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 $868.43 / $1,116.63 / $1,386.45	Professional		$868.43	$1,116.63	$1,386.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $789.30 / $1,251.81	Professional		$29.27	$789.30	$1,251.81