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 $706.44 / $706.44 / $706.44	Professional		$706.44	$706.44	$706.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.35 / $1,012.59 / $1,215.10	Professional		$782.35	$1,012.59	$1,215.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $894.41 / $978.84 / $1,155.64	Professional		$894.41	$978.84	$1,155.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.08 / $972.08 / $1,134.09	Professional		$891.08	$972.08	$1,134.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.50 / $1,012.59 / $1,285.80	Professional		$545.50	$1,012.59	$1,285.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $721.04 / $2,575.00 / $6,124.00	Professional		$721.04	$2,575.00	$6,124.00