Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.53 / $979.46 / $1,213.63	Professional		$912.53	$979.46	$1,213.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.89 / $1,268.08 / $2,308.94	Professional		$1,004.89	$1,268.08	$2,308.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,335.44 / $1,500.41 / $1,725.47	Professional		$1,335.44	$1,500.41	$1,725.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,075.33 / $1,217.35 / $1,420.26	Professional		$1,075.33	$1,217.35	$1,420.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.53 / $1,268.08 / $2,047.88	Professional		$936.53	$1,268.08	$2,047.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $924.71 / $1,488.87	Professional		$29.27	$924.71	$1,488.87