Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.68 / $903.68 / $919.60	Professional		$903.68	$903.68	$919.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.04 / $1,114.80 / $1,114.80	Professional		$895.04	$1,114.80	$1,114.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,194.18 / $1,341.70 / $1,583.21	Professional		$1,194.18	$1,341.70	$1,583.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.02 / $1,070.21 / $1,248.58	Professional		$981.02	$1,070.21	$1,248.58
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 $909.68 / $1,114.80 / $1,449.05	Professional		$909.68	$1,114.80	$1,449.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $816.06 / $1,537.45	Professional		$29.27	$816.06	$1,537.45