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 $809.23 / $809.23 / $809.23	Professional		$809.23	$809.23	$809.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.57 / $1,092.50 / $1,311.00	Professional		$861.57	$1,092.50	$1,311.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,170.15 / $1,280.60 / $1,511.91	Professional		$1,170.15	$1,280.60	$1,511.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.40 / $1,048.80 / $1,223.59	Professional		$961.40	$1,048.80	$1,223.59
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 $854.59 / $1,092.50 / $1,337.84	Professional		$854.59	$1,092.50	$1,337.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $956.89 / $2,575.00 / $6,124.00	Professional		$956.89	$2,575.00	$6,124.00