Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.79 / $830.86 / $830.86	Professional		$797.79	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.21 / $1,000.31 / $1,000.31	Professional		$767.21	$1,000.31	$1,000.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,090.15 / $1,224.82 / $1,445.29	Professional		$1,090.15	$1,224.82	$1,445.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.28 / $960.30 / $1,120.34	Professional		$880.28	$960.30	$1,120.34
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 $816.26 / $1,000.31 / $1,267.92	Professional		$816.26	$1,000.31	$1,267.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $722.22 / $1,087.58	Professional		$29.27	$722.22	$1,087.58