Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $4,791.60 / $6,084.00	Facility		$1,861.43	$4,791.60	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.35 / $1,342.53 / $4,048.14	Professional		$989.35	$1,342.53	$4,048.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.76 / $1,342.53 / $1,611.03	Professional		$1,042.76	$1,342.53	$1,611.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,421.44 / $1,597.03 / $10,286.10	Professional		$1,421.44	$1,597.03	$10,286.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.42 / $1,288.82 / $1,503.63	Professional		$1,181.42	$1,288.82	$1,503.63
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 $1,095.50 / $1,342.53 / $1,717.13	Professional		$1,095.50	$1,342.53	$1,717.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,305.02 / $3,692.19 / $9,324.00	Professional		$1,305.02	$3,692.19	$9,324.00