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 $765.14 / $919.73 / $1,110.18	Professional		$765.14	$919.73	$1,110.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.35 / $1,245.22 / $1,548.85	Professional		$980.35	$1,245.22	$1,548.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,364.66 / $1,571.86 / $1,754.24	Professional		$1,364.66	$1,571.86	$1,754.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.75 / $1,362.99 / $1,734.71	Professional		$962.75	$1,362.99	$1,734.71
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 $1,263.85 / $1,667.48 / $1,959.69	Professional		$1,263.85	$1,667.48	$1,959.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $984.93 / $2,500.00 / $6,063.00	Professional		$984.93	$2,500.00	$6,063.00