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 $701.47 / $767.83 / $806.11	Professional		$701.47	$767.83	$806.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.32 / $1,169.56 / $1,403.48	Professional		$898.32	$1,169.56	$1,403.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,177.95 / $1,385.82 / $1,593.69	Professional		$1,177.95	$1,385.82	$1,593.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $876.30 / $1,029.22 / $1,194.96	Professional		$876.30	$1,029.22	$1,194.96
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 $885.97 / $1,169.56 / $1,428.93	Professional		$885.97	$1,169.56	$1,428.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $935.66 / $1,218.65	Professional		$152.33	$935.66	$1,218.65