Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.63 / $902.57 / $1,154.43	Professional		$810.63	$902.57	$1,154.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.04 / $1,213.39 / $2,324.02	Professional		$905.04	$1,213.39	$2,324.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,354.70 / $1,522.05 / $1,832.84	Professional		$1,354.70	$1,522.05	$1,832.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,090.17 / $1,234.15 / $1,439.84	Professional		$1,090.17	$1,234.15	$1,439.84
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 $875.44 / $1,285.58 / $1,629.90	Professional		$875.44	$1,285.58	$1,629.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $925.75 / $1,832.21	Professional		$29.27	$925.75	$1,832.21