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 $867.96 / $867.96 / $867.96	Professional		$867.96	$867.96	$867.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.40 / $1,078.21 / $1,293.85	Professional		$835.40	$1,078.21	$1,293.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,127.84 / $1,234.30 / $1,457.25	Professional		$1,127.84	$1,234.30	$1,457.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $948.83 / $1,035.08 / $1,207.59	Professional		$948.83	$1,035.08	$1,207.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.78 / $1,078.21 / $1,369.35	Professional		$859.78	$1,078.21	$1,369.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $884.45 / $2,575.00 / $6,124.00	Professional		$884.45	$2,575.00	$6,124.00