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 $1,051.81 / $1,188.03 / $4,499.67	Professional		$1,051.81	$1,188.03	$4,499.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.26 / $1,495.41 / $1,794.50	Professional		$1,220.26	$1,495.41	$1,794.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,612.22 / $1,769.74 / $7,402.00	Professional		$1,612.22	$1,769.74	$7,402.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,315.96 / $1,435.60 / $1,674.86	Professional		$1,315.96	$1,435.60	$1,674.86
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 $794.34 / $1,461.82 / $1,933.01	Professional		$794.34	$1,461.82	$1,933.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,192.66 / $5,316.74 / $11,157.30	Professional		$1,192.66	$5,316.74	$11,157.30