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 $989.40 / $989.40 / $1,142.98	Professional		$989.40	$989.40	$1,142.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,136.44 / $1,368.50 / $1,368.50	Professional		$1,136.44	$1,368.50	$1,368.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,446.05 / $1,624.68 / $1,917.12	Professional		$1,446.05	$1,624.68	$1,917.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,204.28 / $1,313.76 / $1,532.72	Professional		$1,204.28	$1,313.76	$1,532.72
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 $1,116.70 / $1,368.50 / $1,741.31	Professional		$1,116.70	$1,368.50	$1,741.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,083.73 / $1,488.08	Professional		$29.27	$1,083.73	$1,488.08