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 $723.94 / $793.05 / $793.05	Professional		$723.94	$793.05	$793.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.76 / $1,068.16 / $1,068.16	Professional		$846.76	$1,068.16	$1,068.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,149.19 / $1,291.15 / $1,523.56	Professional		$1,149.19	$1,291.15	$1,523.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.98 / $1,025.44 / $1,196.33	Professional		$939.98	$1,025.44	$1,196.33
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 $871.62 / $1,068.16 / $1,350.95	Professional		$871.62	$1,068.16	$1,350.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $2,582.96 / $6,124.00	Professional		$1,005.00	$2,582.96	$6,124.00