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 $917.12 / $917.12 / $917.12	Professional		$917.12	$917.12	$917.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.13 / $1,203.98 / $1,444.77	Professional		$954.13	$1,203.98	$1,444.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,298.94 / $1,459.40 / $5,851.00	Professional		$1,298.94	$1,459.40	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,059.50 / $1,155.82 / $1,348.45	Professional		$1,059.50	$1,155.82	$1,348.45
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 $923.40 / $1,203.98 / $1,502.27	Professional		$923.40	$1,203.98	$1,502.27
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