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 $821.41 / $978.83 / $1,499.96	Professional		$821.41	$978.83	$1,499.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.90 / $1,170.03 / $1,404.03	Professional		$1,010.90	$1,170.03	$1,404.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,218.80 / $1,435.31 / $10,719.00	Professional		$1,218.80	$1,435.31	$10,719.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.61 / $1,123.22 / $1,310.43	Professional		$1,029.61	$1,123.22	$1,310.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $874.39 / $1,140.51 / $1,195.26	Professional		$874.39	$1,140.51	$1,195.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.68 / $2,582.96 / $6,124.00	Professional		$933.68	$2,582.96	$6,124.00