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 $852.27 / $936.49 / $1,441.53	Professional		$852.27	$936.49	$1,441.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.35 / $1,165.30 / $2,374.84	Professional		$859.35	$1,165.30	$2,374.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,247.11 / $1,401.18 / $1,687.28	Professional		$1,247.11	$1,401.18	$1,687.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.17 / $1,118.69 / $1,305.14	Professional		$988.17	$1,118.69	$1,305.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.68 / $1,165.30 / $1,679.35	Professional		$913.68	$1,165.30	$1,679.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $876.51 / $1,396.89	Professional		$29.27	$876.51	$1,396.89