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 $925.68 / $925.68 / $925.68	Professional		$925.68	$925.68	$925.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.33 / $1,208.51 / $1,450.22	Professional		$936.33	$1,208.51	$1,450.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,265.99 / $1,422.38 / $5,851.00	Professional		$1,265.99	$1,422.38	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.49 / $1,160.17 / $1,353.53	Professional		$1,063.49	$1,160.17	$1,353.53
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 $970.07 / $1,208.51 / $1,541.67	Professional		$970.07	$1,208.51	$1,541.67
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