Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.43 / $737.43 / $852.62	Professional		$737.43	$737.43	$852.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.65 / $1,072.70 / $1,072.70	Professional		$808.65	$1,072.70	$1,072.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,147.25 / $1,349.70 / $1,520.97	Professional		$1,147.25	$1,349.70	$1,520.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $943.98 / $1,029.79 / $1,201.42	Professional		$943.98	$1,029.79	$1,201.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.32 / $1,072.70 / $1,304.03	Professional		$875.32	$1,072.70	$1,304.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $953.77 / $1,070.90	Professional		$133.86	$953.77	$1,070.90