Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.53 / $963.53 / $963.53	Professional		$963.53	$963.53	$963.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.99 / $1,187.44 / $1,424.93	Professional		$919.99	$1,187.44	$1,424.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,242.09 / $1,359.34 / $1,604.86	Professional		$1,242.09	$1,359.34	$1,604.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.95 / $1,139.94 / $1,329.93	Professional		$1,044.95	$1,139.94	$1,329.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.43 / $1,187.44 / $1,506.24	Professional		$966.43	$1,187.44	$1,506.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,078.59 / $3,692.19 / $9,324.00	Professional		$1,078.59	$3,692.19	$9,324.00