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 $873.24 / $1,036.07 / $1,087.74	Professional		$873.24	$1,036.07	$1,087.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.17 / $1,503.75 / $1,503.75	Professional		$1,124.17	$1,503.75	$1,503.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,618.58 / $1,862.32 / $8,902.00	Professional		$1,618.58	$1,862.32	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,323.30 / $1,443.60 / $1,684.20	Professional		$1,323.30	$1,443.60	$1,684.20
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 $1,227.06 / $1,503.75 / $1,861.07	Professional		$1,227.06	$1,503.75	$1,861.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,364.00 / $3,900.00 / $8,000.00	Professional		$1,364.00	$3,900.00	$8,000.00