Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $836.74 / $836.74	Professional		$836.74	$836.74	$836.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.97 / $1,236.00 / $1,483.20	Professional		$956.97	$1,236.00	$1,483.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,368.40 / $1,497.57 / $1,851.36	Professional		$1,368.40	$1,497.57	$1,851.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $1,186.56 / $1,384.32	Professional		$1,087.68	$1,186.56	$1,384.32
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 $988.74 / $1,236.00 / $1,572.36	Professional		$988.74	$1,236.00	$1,572.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $1,148.69 / $1,330.19	Professional		$166.27	$1,148.69	$1,330.19