Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.92 / $802.92 / $802.92	Professional		$802.92	$802.92	$802.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.40 / $1,004.73 / $1,205.67	Professional		$776.40	$1,004.73	$1,205.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,046.48 / $1,175.75 / $5,851.00	Professional		$1,046.48	$1,175.75	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.16 / $964.54 / $1,125.29	Professional		$884.16	$964.54	$1,125.29
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 $795.91 / $1,004.73 / $1,270.05	Professional		$795.91	$1,004.73	$1,270.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $928.75 / $1,336.01	Professional		$29.27	$928.75	$1,336.01