Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.15 / $2,747.00 / $4,456.00	Facility		$735.15	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.42 / $1,714.74 / $2,572.94	Professional		$1,704.42	$1,714.74	$2,572.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.52 / $2,052.38 / $2,462.85	Professional		$1,592.52	$2,052.38	$2,462.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,187.09 / $2,393.53 / $6,352.00	Professional		$2,187.09	$2,393.53	$6,352.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,806.09 / $1,970.28 / $2,298.66	Professional		$1,806.09	$1,970.28	$2,298.66
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 $1,674.74 / $2,052.38 / $2,637.14	Professional		$1,674.74	$2,052.38	$2,637.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,473.07 / $7,302.00 / $9,416.00	Professional		$1,473.07	$7,302.00	$9,416.00