Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.36 / $826.36 / $826.36	Professional		$826.36	$826.36	$826.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.24 / $1,093.15 / $1,311.78	Professional		$846.24	$1,093.15	$1,311.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,141.83 / $1,249.61 / $1,475.32	Professional		$1,141.83	$1,249.61	$1,475.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.97 / $1,049.42 / $1,224.33	Professional		$961.97	$1,049.42	$1,224.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.23 / $1,093.15 / $1,380.63	Professional		$865.23	$1,093.15	$1,380.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $850.33 / $1,175.03	Professional		$29.27	$850.33	$1,175.03