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 $992.24 / $992.24 / $992.24	Professional		$992.24	$992.24	$992.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.53 / $1,150.43 / $1,380.51	Professional		$890.53	$1,150.43	$1,380.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,262.30 / $1,381.44 / $1,630.96	Professional		$1,262.30	$1,381.44	$1,630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,012.37 / $1,104.41 / $1,288.48	Professional		$1,012.37	$1,104.41	$1,288.48
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 $938.75 / $1,150.43 / $1,456.68	Professional		$938.75	$1,150.43	$1,456.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,084.76 / $2,582.96 / $6,124.00	Professional		$1,084.76	$2,582.96	$6,124.00