Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.49 / $821.35 / $821.35	Professional		$747.49	$821.35	$821.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.62 / $1,067.34 / $1,067.34	Professional		$875.62	$1,067.34	$1,067.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,144.90 / $1,286.33 / $1,517.87	Professional		$1,144.90	$1,286.33	$1,517.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.27 / $1,024.66 / $1,195.43	Professional		$939.27	$1,024.66	$1,195.43
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 $1,014.24 / $1,067.34 / $1,369.25	Professional		$1,014.24	$1,067.34	$1,369.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $757.00 / $1,500.00 / $3,725.00	Professional		$757.00	$1,500.00	$3,725.00