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 $968.82 / $968.82 / $968.82	Professional		$968.82	$968.82	$968.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.79 / $1,112.88 / $1,335.45	Professional		$864.79	$1,112.88	$1,335.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,378.00 / $1,508.07 / $1,864.36	Professional		$1,378.00	$1,508.07	$1,864.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.33 / $1,068.35 / $1,246.42	Professional		$979.33	$1,068.35	$1,246.42
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 $908.11 / $1,147.32 / $1,427.27	Professional		$908.11	$1,147.32	$1,427.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,057.44 / $1,205.24	Professional		$29.27	$1,057.44	$1,205.24