Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.78 / $815.78 / $815.78	Professional		$815.78	$815.78	$815.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.60 / $1,128.98 / $1,354.77	Professional		$873.60	$1,128.98	$1,354.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,180.23 / $1,291.63 / $4,347.00	Professional		$1,180.23	$1,291.63	$4,347.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.50 / $1,083.82 / $1,264.45	Professional		$993.50	$1,083.82	$1,264.45
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 $921.24 / $1,128.98 / $1,435.32	Professional		$921.24	$1,128.98	$1,435.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $2,000.00 / $5,304.00	Professional		$880.00	$2,000.00	$5,304.00