Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.51 / $978.51 / $1,533.68	Professional		$978.51	$978.51	$1,533.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.84 / $1,214.65 / $1,457.58	Professional		$943.84	$1,214.65	$1,457.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,276.52 / $1,397.02 / $1,727.06	Professional		$1,276.52	$1,397.02	$1,727.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,068.89 / $1,166.06 / $1,360.41	Professional		$1,068.89	$1,166.06	$1,360.41
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 $974.94 / $1,214.65 / $1,531.53	Professional		$974.94	$1,214.65	$1,531.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,005.61 / $1,313.63	Professional		$29.27	$1,005.61	$1,313.63