Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,627.00 / $8,210.00	Facility		$2,747.00	$3,627.00	$8,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,138.99 / $1,774.55	Professional		$942.87	$1,138.99	$1,774.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.73 / $1,403.76 / $1,684.52	Professional		$1,074.73	$1,403.76	$1,684.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,451.41 / $1,630.70 / $5,851.00	Professional		$1,451.41	$1,630.70	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.31 / $1,347.61 / $1,572.21	Professional		$1,235.31	$1,347.61	$1,572.21
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 $1,107.08 / $1,403.76 / $1,764.90	Professional		$1,107.08	$1,403.76	$1,764.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.70 / $1,330.23 / $12,905.00	Professional		$186.70	$1,330.23	$12,905.00