Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.66 / $743.66 / $743.66	Professional		$743.66	$743.66	$743.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.22 / $1,056.33 / $1,267.60	Professional		$829.22	$1,056.33	$1,267.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,123.78 / $1,229.84 / $1,451.99	Professional		$1,123.78	$1,229.84	$1,451.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.58 / $1,014.08 / $1,183.09	Professional		$929.58	$1,014.08	$1,183.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.71 / $1,056.33 / $1,276.14	Professional		$790.71	$1,056.33	$1,276.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $781.15 / $2,000.00 / $5,304.00	Professional		$781.15	$2,000.00	$5,304.00