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 $813.69 / $813.69 / $813.69	Professional		$813.69	$813.69	$813.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.37 / $1,162.78 / $1,395.33	Professional		$903.37	$1,162.78	$1,395.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,222.33 / $1,337.71 / $1,579.32	Professional		$1,222.33	$1,337.71	$1,579.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.24 / $1,116.26 / $1,302.31	Professional		$1,023.24	$1,116.26	$1,302.31
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 $908.61 / $1,162.78 / $1,470.57	Professional		$908.61	$1,162.78	$1,470.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $835.30 / $1,248.03	Professional		$29.27	$835.30	$1,248.03