Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.07 / $968.76 / $3,222.90	Professional		$932.07	$968.76	$3,222.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.58 / $1,286.25 / $1,543.50	Professional		$1,049.58	$1,286.25	$1,543.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,574.53 / $1,728.36 / $10,731.00	Professional		$1,574.53	$1,728.36	$10,731.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,131.90 / $1,234.80 / $1,440.60	Professional		$1,131.90	$1,234.80	$1,440.60
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 $1,049.58 / $1,286.25 / $2,773.50	Professional		$1,049.58	$1,286.25	$2,773.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $926.81 / $1,297.54	Professional		$29.27	$926.81	$1,297.54