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 $840.40 / $840.40 / $840.40	Professional		$840.40	$840.40	$840.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.51 / $1,060.10 / $1,272.14	Professional		$817.51	$1,060.10	$1,272.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,103.21 / $1,207.33 / $1,425.41	Professional		$1,103.21	$1,207.33	$1,425.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.90 / $1,017.71 / $1,187.33	Professional		$932.90	$1,017.71	$1,187.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.04 / $1,060.10 / $1,333.37	Professional		$842.04	$1,060.10	$1,333.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $963.24 / $3,692.19 / $9,324.00	Professional		$963.24	$3,692.19	$9,324.00