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 $765.94 / $765.94 / $765.94	Professional		$765.94	$765.94	$765.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.63 / $1,039.38 / $1,247.25	Professional		$822.63	$1,039.38	$1,247.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,117.67 / $1,255.73 / $5,851.00	Professional		$1,117.67	$1,255.73	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.65 / $997.80 / $1,164.09	Professional		$914.65	$997.80	$1,164.09
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 $830.38 / $1,039.38 / $1,275.71	Professional		$830.38	$1,039.38	$1,275.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $914.12 / $2,575.00 / $6,124.00	Professional		$914.12	$2,575.00	$6,124.00