Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.86 / $993.85 / $993.85	Professional		$952.86	$993.85	$993.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.28 / $1,142.08 / $1,142.08	Professional		$917.28	$1,142.08	$1,142.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,292.65 / $1,487.31 / $6,874.20	Professional		$1,292.65	$1,487.31	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,005.03 / $1,096.39 / $1,279.11	Professional		$1,005.03	$1,096.39	$1,279.11
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 $931.93 / $1,142.08 / $1,472.61	Professional		$931.93	$1,142.08	$1,472.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $987.67 / $1,464.24	Professional		$29.27	$987.67	$1,464.24