Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.34 / $980.34 / $980.34	Professional		$980.34	$980.34	$980.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.33 / $1,190.98 / $1,429.17	Professional		$923.33	$1,190.98	$1,429.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,248.57 / $1,402.80 / $5,851.00	Professional		$1,248.57	$1,402.80	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.06 / $1,143.33 / $1,333.89	Professional		$1,048.06	$1,143.33	$1,333.89
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 $971.84 / $1,190.98 / $1,520.01	Professional		$971.84	$1,190.98	$1,520.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,031.23 / $3,619.79 / $9,324.00	Professional		$1,031.23	$3,619.79	$9,324.00