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 $905.76 / $917.76 / $917.76	Professional		$905.76	$917.76	$917.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.88 / $1,112.40 / $1,112.40	Professional		$889.88	$1,112.40	$1,112.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,289.60 / $1,448.92 / $1,709.73	Professional		$1,289.60	$1,448.92	$1,709.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $1,067.90 / $1,245.89	Professional		$978.91	$1,067.90	$1,245.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $907.72 / $1,112.40 / $1,437.35	Professional		$907.72	$1,112.40	$1,437.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $794.69 / $1,371.06	Professional		$29.27	$794.69	$1,371.06