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 $924.27 / $1,111.24 / $1,681.30	Professional		$924.27	$1,111.24	$1,681.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.23 / $1,338.16 / $1,605.80	Professional		$1,038.23	$1,338.16	$1,605.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,409.32 / $1,583.41 / $5,851.00	Professional		$1,409.32	$1,583.41	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,177.58 / $1,284.64 / $1,498.74	Professional		$1,177.58	$1,284.64	$1,498.74
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 $1,078.10 / $1,338.16 / $1,712.28	Professional		$1,078.10	$1,338.16	$1,712.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,157.67 / $5,212.49 / $11,157.30	Professional		$1,157.67	$5,212.49	$11,157.30