Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,758.00 / $4,456.00	Facility		$879.00	$1,758.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.23 / $1,000.23 / $1,000.23	Professional		$1,000.23	$1,000.23	$1,000.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.01 / $1,161.66 / $1,394.00	Professional		$900.01	$1,161.66	$1,394.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,289.43 / $1,411.15 / $1,666.03	Professional		$1,289.43	$1,411.15	$1,666.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.26 / $1,115.20 / $1,301.06	Professional		$1,022.26	$1,115.20	$1,301.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.92 / $1,161.66 / $1,472.31	Professional		$947.92	$1,161.66	$1,472.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.35 / $2,582.96 / $6,124.00	Professional		$1,096.35	$2,582.96	$6,124.00