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 $774.04 / $774.04 / $774.04	Professional		$774.04	$774.04	$774.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.37 / $1,189.65 / $1,427.58	Professional		$940.37	$1,189.65	$1,427.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,274.39 / $1,394.68 / $1,646.58	Professional		$1,274.39	$1,394.68	$1,646.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,046.89 / $1,142.06 / $1,332.41	Professional		$1,046.89	$1,142.06	$1,332.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $908.66 / $1,189.65 / $1,474.59	Professional		$908.66	$1,189.65	$1,474.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $2,575.00 / $6,124.00	Professional		$1,005.00	$2,575.00	$6,124.00