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 $838.42 / $838.42 / $838.42	Professional		$838.42	$838.42	$838.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.92 / $1,128.16 / $1,353.80	Professional		$889.92	$1,128.16	$1,353.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,207.74 / $1,356.93 / $5,851.00	Professional		$1,207.74	$1,356.93	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.78 / $1,083.04 / $1,263.54	Professional		$992.78	$1,083.04	$1,263.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.19 / $1,128.16 / $1,385.54	Professional		$876.19	$1,128.16	$1,385.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $982.74 / $2,575.00 / $6,124.00	Professional		$982.74	$2,575.00	$6,124.00