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 $949.96 / $949.96 / $949.96	Professional		$949.96	$949.96	$949.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.93 / $1,104.08 / $1,324.91	Professional		$953.93	$1,104.08	$1,324.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,125.03 / $1,231.21 / $1,491.52	Professional		$1,125.03	$1,231.21	$1,491.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.60 / $1,059.92 / $1,236.58	Professional		$971.60	$1,059.92	$1,236.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.31 / $1,062.70 / $1,305.69	Professional		$737.31	$1,062.70	$1,305.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $810.42 / $2,582.96 / $6,124.00	Professional		$810.42	$2,582.96	$6,124.00