Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.51 / $1,363.13 / $3,278.00	Professional		$886.51	$1,363.13	$3,278.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.74 / $1,078.55 / $1,294.26	Professional		$834.74	$1,078.55	$1,294.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,127.08 / $1,233.48 / $1,456.27	Professional		$1,127.08	$1,233.48	$1,456.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.12 / $1,035.41 / $1,207.98	Professional		$949.12	$1,035.41	$1,207.98
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 $880.10 / $1,078.55 / $1,363.22	Professional		$880.10	$1,078.55	$1,363.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,001.24 / $3,692.19 / $9,324.00	Professional		$1,001.24	$3,692.19	$9,324.00