Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.88 / $972.88 / $972.88	Professional		$972.88	$972.88	$972.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.28 / $1,261.83 / $1,514.19	Professional		$980.28	$1,261.83	$1,514.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,327.53 / $1,452.84 / $1,715.25	Professional		$1,327.53	$1,452.84	$1,715.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.41 / $1,211.34 / $1,413.24	Professional		$1,110.41	$1,211.34	$1,413.24
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 $1,021.31 / $1,261.83 / $1,621.80	Professional		$1,021.31	$1,261.83	$1,621.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $907.19 / $1,366.12	Professional		$29.27	$907.19	$1,366.12