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 $807.18 / $807.18 / $807.18	Professional		$807.18	$807.18	$807.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.19 / $1,039.19 / $1,541.43	Professional		$1,039.19	$1,039.19	$1,541.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,539.20 / $1,770.96 / $7,637.00	Professional		$1,539.20	$1,770.96	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,356.45 / $1,479.77 / $1,726.40	Professional		$1,356.45	$1,479.77	$1,726.40
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 $1,257.80 / $1,541.43 / $1,975.97	Professional		$1,257.80	$1,541.43	$1,975.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,345.68 / $3,900.00 / $8,000.00	Professional		$1,345.68	$3,900.00	$8,000.00