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 $836.40 / $836.40 / $836.40	Professional		$836.40	$836.40	$836.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.81 / $1,232.48 / $1,478.97	Professional		$951.81	$1,232.48	$1,478.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,291.27 / $1,413.15 / $1,747.01	Professional		$1,291.27	$1,413.15	$1,747.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.58 / $1,183.18 / $1,380.37	Professional		$1,084.58	$1,183.18	$1,380.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $993.28 / $1,232.48 / $1,622.82	Professional		$993.28	$1,232.48	$1,622.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $888.42 / $2,575.00 / $6,124.00	Professional		$888.42	$2,575.00	$6,124.00