Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.83 / $829.83 / $829.83	Professional		$829.83	$829.83	$829.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.88 / $1,326.64 / $1,591.97	Professional		$1,031.88	$1,326.64	$1,591.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,340.55 / $1,467.09 / $1,732.07	Professional		$1,340.55	$1,467.09	$1,732.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.44 / $1,273.57 / $1,485.83	Professional		$1,167.44	$1,273.57	$1,485.83
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 $959.28 / $1,326.64 / $1,685.84	Professional		$959.28	$1,326.64	$1,685.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $2,000.00 / $5,304.00	Professional		$880.00	$2,000.00	$5,304.00