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 $823.58 / $823.58 / $823.58	Professional		$823.58	$823.58	$823.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.98 / $1,028.83 / $1,234.60	Professional		$796.98	$1,028.83	$1,234.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,076.63 / $1,209.61 / $5,851.00	Professional		$1,076.63	$1,209.61	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.38 / $987.68 / $1,152.30	Professional		$905.38	$987.68	$1,152.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.41 / $1,028.83 / $1,309.95	Professional		$823.41	$1,028.83	$1,309.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $818.62 / $2,575.00 / $6,124.00	Professional		$818.62	$2,575.00	$6,124.00