Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.50 / $999.50 / $999.50	Professional		$999.50	$999.50	$999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.05 / $1,405.69 / $1,686.83	Professional		$1,089.05	$1,405.69	$1,686.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,471.18 / $1,610.04 / $1,900.85	Professional		$1,471.18	$1,610.04	$1,900.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.01 / $1,349.46 / $1,574.37	Professional		$1,237.01	$1,349.46	$1,574.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.89 / $1,405.69 / $1,754.21	Professional		$1,102.89	$1,405.69	$1,754.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,005.35 / $1,577.31	Professional		$29.27	$1,005.35	$1,577.31