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 $762.69 / $762.69 / $762.69	Professional		$762.69	$762.69	$762.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.80 / $1,058.29 / $1,269.95	Professional		$862.80	$1,058.29	$1,269.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,173.28 / $1,318.22 / $5,851.00	Professional		$1,173.28	$1,318.22	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.29 / $1,015.96 / $1,185.28	Professional		$931.29	$1,015.96	$1,185.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.56 / $1,058.29 / $1,421.27	Professional		$863.56	$1,058.29	$1,421.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $2,582.96 / $6,124.00	Professional		$1,005.00	$2,582.96	$6,124.00