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 $843.49 / $843.49 / $843.49	Professional		$843.49	$843.49	$843.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.15 / $1,051.01 / $1,261.22	Professional		$813.15	$1,051.01	$1,261.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,076.49 / $1,139.81 / $1,310.79	Professional		$1,076.49	$1,139.81	$1,310.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.89 / $1,008.97 / $1,177.13	Professional		$924.89	$1,008.97	$1,177.13
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 $848.06 / $1,051.01 / $1,320.60	Professional		$848.06	$1,051.01	$1,320.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $872.28 / $1,102.32	Professional		$29.27	$872.28	$1,102.32