Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.01 / $973.39 / $1,611.38	Professional		$817.01	$973.39	$1,611.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.36 / $1,291.74 / $1,550.09	Professional		$991.36	$1,291.74	$1,550.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,345.39 / $1,511.58 / $1,757.65	Professional		$1,345.39	$1,511.58	$1,757.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.73 / $1,240.07 / $1,446.75	Professional		$1,136.73	$1,240.07	$1,446.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.06 / $1,291.74 / $1,663.65	Professional		$1,054.06	$1,291.74	$1,663.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $919.39 / $1,384.49	Professional		$29.27	$919.39	$1,384.49