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 $901.85 / $901.85 / $901.85	Professional		$901.85	$901.85	$901.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.43 / $1,120.49 / $1,344.59	Professional		$867.43	$1,120.49	$1,344.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,169.88 / $1,314.40 / $8,430.00	Professional		$1,169.88	$1,314.40	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.03 / $1,075.67 / $1,254.95	Professional		$986.03	$1,075.67	$1,254.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.58 / $1,120.49 / $1,416.69	Professional		$902.58	$1,120.49	$1,416.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $935.52 / $2,575.00 / $6,124.00	Professional		$935.52	$2,575.00	$6,124.00