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 $688.68 / $852.76 / $852.76	Professional		$688.68	$852.76	$852.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.67 / $1,408.08 / $1,408.08	Professional		$880.67	$1,408.08	$1,408.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,501.72 / $1,759.94 / $4,116.00	Professional		$1,501.72	$1,759.94	$4,116.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.10 / $1,351.75 / $1,577.04	Professional		$1,239.10	$1,351.75	$1,577.04
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 $1,148.99 / $1,408.08 / $1,740.63	Professional		$1,148.99	$1,408.08	$1,740.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,043.18 / $2,582.96 / $6,124.00	Professional		$1,043.18	$2,582.96	$6,124.00