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 $904.45 / $904.45 / $904.45	Professional		$904.45	$904.45	$904.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.49 / $1,135.91 / $1,363.10	Professional		$878.49	$1,135.91	$1,363.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,186.36 / $1,256.16 / $1,444.58	Professional		$1,186.36	$1,256.16	$1,444.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $999.60 / $1,090.48 / $1,272.22	Professional		$999.60	$1,090.48	$1,272.22
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 $904.97 / $1,135.91 / $1,436.69	Professional		$904.97	$1,135.91	$1,436.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $932.19 / $1,220.84	Professional		$29.27	$932.19	$1,220.84