Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.86 / $852.86 / $852.86	Professional		$852.86	$852.86	$852.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.36 / $1,090.33 / $1,308.39	Professional		$844.36	$1,090.33	$1,308.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,139.56 / $1,247.11 / $1,472.38	Professional		$1,139.56	$1,247.11	$1,472.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.49 / $1,046.71 / $1,221.16	Professional		$959.49	$1,046.71	$1,221.16
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 $869.17 / $1,090.33 / $1,384.74	Professional		$869.17	$1,090.33	$1,384.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $895.31 / $2,575.00 / $6,124.00	Professional		$895.31	$2,575.00	$6,124.00