Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $1,141.08 / $1,774.55	Professional		$944.47	$1,141.08	$1,774.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.04 / $1,403.76 / $1,684.52	Professional		$1,085.04	$1,403.76	$1,684.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,463.15 / $1,643.89 / $5,851.00	Professional		$1,463.15	$1,643.89	$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 $1,110.59 / $1,403.76 / $1,772.15	Professional		$1,110.59	$1,403.76	$1,772.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $940.14 / $8,662.00 / $11,938.00	Professional		$940.14	$8,662.00	$11,938.00