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 $899.84 / $899.84 / $1,054.04	Professional		$899.84	$899.84	$1,054.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.41 / $1,252.39 / $1,502.87	Professional		$988.41	$1,252.39	$1,502.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,338.37 / $1,464.70 / $1,810.73	Professional		$1,338.37	$1,464.70	$1,810.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,102.09 / $1,202.29 / $1,402.67	Professional		$1,102.09	$1,202.29	$1,402.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.95 / $1,252.39 / $1,633.25	Professional		$1,021.95	$1,252.39	$1,633.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $2,575.00 / $6,124.00	Professional		$1,005.00	$2,575.00	$6,124.00