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 $994.03 / $1,616.99 / $5,118.20	Professional		$994.03	$1,616.99	$5,118.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.84 / $1,261.74 / $1,514.09	Professional		$994.84	$1,261.74	$1,514.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,352.27 / $1,519.31 / $5,851.00	Professional		$1,352.27	$1,519.31	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.33 / $1,211.27 / $1,413.15	Professional		$1,110.33	$1,211.27	$1,413.15
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 $932.81 / $1,261.74 / $1,563.69	Professional		$932.81	$1,261.74	$1,563.69
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