Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $914.53 / $3,694.35	Professional		$863.37	$914.53	$3,694.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.55 / $1,273.96 / $1,528.76	Professional		$1,039.55	$1,273.96	$1,528.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,362.81 / $1,495.96 / $7,402.00	Professional		$1,362.81	$1,495.96	$7,402.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,121.08 / $1,223.00 / $1,426.84	Professional		$1,121.08	$1,223.00	$1,426.84
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 $1,039.55 / $1,273.96 / $2,667.32	Professional		$1,039.55	$1,273.96	$2,667.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $955.57 / $5,316.74 / $11,157.30	Professional		$955.57	$5,316.74	$11,157.30