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 $876.00 / $876.00 / $876.00	Professional		$876.00	$876.00	$876.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.09 / $1,169.50 / $1,403.40	Professional		$923.09	$1,169.50	$1,403.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,253.58 / $1,408.43 / $5,851.00	Professional		$1,253.58	$1,408.43	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.16 / $1,122.72 / $1,309.83	Professional		$1,029.16	$1,122.72	$1,309.83
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 $916.09 / $1,169.50 / $1,425.45	Professional		$916.09	$1,169.50	$1,425.45
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