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 $864.26 / $879.64 / $879.64	Professional		$864.26	$879.64	$879.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.80 / $1,037.24 / $1,037.24	Professional		$831.80	$1,037.24	$1,037.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,162.06 / $1,305.60 / $1,540.62	Professional		$1,162.06	$1,305.60	$1,540.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.77 / $995.75 / $1,161.71	Professional		$912.77	$995.75	$1,161.71
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 $846.39 / $1,037.24 / $1,344.74	Professional		$846.39	$1,037.24	$1,344.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $742.82 / $2,575.00 / $6,124.00	Professional		$742.82	$2,575.00	$6,124.00