Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,107.00 / $8,431.00	Facility		$2,747.00	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.81 / $972.81 / $972.81	Professional		$972.81	$972.81	$972.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.27 / $1,260.50 / $1,512.60	Professional		$985.27	$1,260.50	$1,512.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,333.23 / $1,497.93 / $5,851.00	Professional		$1,333.23	$1,497.93	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,109.24 / $1,210.08 / $1,411.76	Professional		$1,109.24	$1,210.08	$1,411.76
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 $1,027.69 / $1,260.50 / $1,636.49	Professional		$1,027.69	$1,260.50	$1,636.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $948.98 / $1,371.98	Professional		$29.27	$948.98	$1,371.98