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 $819.97 / $819.97 / $819.97	Professional		$819.97	$819.97	$819.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.80 / $1,038.25 / $1,245.90	Professional		$800.80	$1,038.25	$1,245.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,079.08 / $1,180.94 / $1,394.25	Professional		$1,079.08	$1,180.94	$1,394.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.66 / $996.72 / $1,162.83	Professional		$913.66	$996.72	$1,162.83
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 $816.80 / $1,038.25 / $1,305.33	Professional		$816.80	$1,038.25	$1,305.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $943.90 / $3,692.19 / $9,324.00	Professional		$943.90	$3,692.19	$9,324.00