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 $888.98 / $888.98 / $888.98	Professional		$888.98	$888.98	$888.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.35 / $1,199.55 / $1,439.46	Professional		$945.35	$1,199.55	$1,439.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,283.74 / $1,404.91 / $1,658.67	Professional		$1,283.74	$1,404.91	$1,658.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.59 / $1,151.57 / $1,343.50	Professional		$1,055.59	$1,151.57	$1,343.50
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 $928.52 / $1,199.55 / $1,473.98	Professional		$928.52	$1,199.55	$1,473.98
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