Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.25 / $1,124.25 / $1,124.25	Professional		$1,124.25	$1,124.25	$1,124.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.37 / $1,253.08 / $1,503.71	Professional		$979.37	$1,253.08	$1,503.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,424.28 / $1,600.22 / $3,857.00	Professional		$1,424.28	$1,600.22	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,102.72 / $1,202.96 / $1,403.46	Professional		$1,102.72	$1,202.96	$1,403.46
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 $1,022.52 / $1,253.08 / $1,613.91	Professional		$1,022.52	$1,253.08	$1,613.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $903.45 / $1,360.49	Professional		$29.27	$903.45	$1,360.49