Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.85 / $939.85 / $947.78	Professional		$939.85	$939.85	$947.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.07 / $1,279.33 / $1,279.33	Professional		$1,042.07	$1,279.33	$1,279.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,442.99 / $1,621.25 / $1,913.08	Professional		$1,442.99	$1,621.25	$1,913.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.81 / $1,228.15 / $1,432.84	Professional		$1,125.81	$1,228.15	$1,432.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.93 / $1,279.33 / $1,666.97	Professional		$1,043.93	$1,279.33	$1,666.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $1,229.44 / $1,410.14	Professional		$176.27	$1,229.44	$1,410.14