Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.12 / $873.63 / $3,786.75	Professional		$780.12	$873.63	$3,786.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,402.46 / $5,463.43 / $6,556.11	Professional		$4,402.46	$5,463.43	$6,556.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.47 / $1,488.14 / $6,866.66	Professional		$1,258.47	$1,488.14	$6,866.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.33 / $4,632.97 / $5,463.43	Professional		$895.33	$4,632.97	$5,463.43
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 $3,747.48 / $5,463.43 / $7,144.58	Professional		$3,747.48	$5,463.43	$7,144.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $956.44 / $5,476.24 / $11,157.30	Professional		$956.44	$5,476.24	$11,157.30