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 $670.01 / $670.01 / $670.01	Professional		$670.01	$670.01	$670.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.36 / $1,195.31 / $1,434.38	Professional		$597.36	$1,195.31	$1,434.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,008.43 / $1,103.60 / $1,302.95	Professional		$1,008.43	$1,103.60	$1,302.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.88 / $1,147.50 / $1,338.75	Professional		$1,051.88	$1,147.50	$1,338.75
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 $791.77 / $1,195.31 / $1,342.37	Professional		$791.77	$1,195.31	$1,342.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $756.28 / $2,000.00 / $5,304.00	Professional		$756.28	$2,000.00	$5,304.00