Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.63 / $696.63 / $696.63	Professional		$696.63	$696.63	$696.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.59 / $937.86 / $1,125.44	Professional		$724.59	$937.86	$1,125.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $976.49 / $1,068.66 / $1,261.68	Professional		$976.49	$1,068.66	$1,261.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.32 / $900.35 / $1,050.41	Professional		$825.32	$900.35	$1,050.41
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 $765.30 / $937.86 / $1,176.02	Professional		$765.30	$937.86	$1,176.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $894.96 / $2,582.96 / $6,124.00	Professional		$894.96	$2,582.96	$6,124.00