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 $961.28 / $961.28 / $961.28	Professional		$961.28	$961.28	$961.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.83 / $1,116.70 / $1,340.04	Professional		$964.83	$1,116.70	$1,340.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,134.95 / $1,242.08 / $1,504.68	Professional		$1,134.95	$1,242.08	$1,504.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.70 / $1,072.03 / $1,250.70	Professional		$982.70	$1,072.03	$1,250.70
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 $747.02 / $1,075.59 / $1,322.30	Professional		$747.02	$1,075.59	$1,322.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $819.47 / $2,040.00 / $5,304.00	Professional		$819.47	$2,040.00	$5,304.00