Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.07 / $881.01 / $881.01	Professional		$859.07	$881.01	$881.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.97 / $1,021.69 / $1,021.69	Professional		$825.97	$1,021.69	$1,021.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,170.06 / $1,314.60 / $1,551.23	Professional		$1,170.06	$1,314.60	$1,551.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.09 / $980.82 / $1,144.29	Professional		$899.09	$980.82	$1,144.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.70 / $1,021.69 / $1,319.16	Professional		$833.70	$1,021.69	$1,319.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $729.23 / $1,098.14	Professional		$29.27	$729.23	$1,098.14