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 $744.63 / $744.63 / $744.63	Professional		$744.63	$744.63	$744.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.06 / $939.48 / $1,127.36	Professional		$726.06	$939.48	$1,127.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $978.50 / $1,099.38 / $5,851.00	Professional		$978.50	$1,099.38	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.74 / $901.90 / $1,052.21	Professional		$826.74	$901.90	$1,052.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.04 / $939.48 / $1,185.18	Professional		$743.04	$939.48	$1,185.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $866.84 / $2,582.96 / $6,124.00	Professional		$866.84	$2,582.96	$6,124.00