Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.46 / $944.22 / $944.22	Professional		$805.46	$944.22	$944.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.68 / $1,397.28 / $1,397.28	Professional		$1,035.68	$1,397.28	$1,397.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,505.35 / $1,732.04 / $8,902.00	Professional		$1,505.35	$1,732.04	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.59 / $1,341.38 / $1,564.95	Professional		$1,229.59	$1,341.38	$1,564.95
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 $1,140.18 / $1,397.28 / $1,721.46	Professional		$1,140.18	$1,397.28	$1,721.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,264.48 / $3,900.00 / $8,000.00	Professional		$1,264.48	$3,900.00	$8,000.00