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 $710.42 / $710.42 / $710.42	Professional		$710.42	$710.42	$710.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.88 / $934.64 / $1,121.57	Professional		$719.88	$934.64	$1,121.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $967.68 / $1,087.22 / $5,851.00	Professional		$967.68	$1,087.22	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.48 / $897.25 / $1,046.79	Professional		$822.48	$897.25	$1,046.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.10 / $934.64 / $1,166.16	Professional		$726.10	$934.64	$1,166.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $704.98 / $2,000.00 / $5,304.00	Professional		$704.98	$2,000.00	$5,304.00