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 $744.72 / $744.72 / $744.72	Professional		$744.72	$744.72	$744.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.09 / $1,168.23 / $1,401.87	Professional		$922.09	$1,168.23	$1,401.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,252.21 / $1,406.90 / $5,851.00	Professional		$1,252.21	$1,406.90	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.04 / $1,121.50 / $1,308.41	Professional		$1,028.04	$1,121.50	$1,308.41
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 $922.46 / $1,168.23 / $1,440.44	Professional		$922.46	$1,168.23	$1,440.44
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