Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.88 / $937.07 / $937.07	Professional		$787.88	$937.07	$937.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.98 / $1,312.71 / $1,312.71	Professional		$1,010.98	$1,312.71	$1,312.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,388.37 / $1,559.88 / $1,840.66	Professional		$1,388.37	$1,559.88	$1,840.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,155.19 / $1,260.20 / $1,470.24	Professional		$1,155.19	$1,260.20	$1,470.24
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 $1,183.14 / $1,271.04 / $1,605.57	Professional		$1,183.14	$1,271.04	$1,605.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $948.76 / $2,040.00 / $5,304.00	Professional		$948.76	$2,040.00	$5,304.00