Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.00 / $1,597.00 / $1,738.39	Professional		$1,597.00	$1,597.00	$1,738.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,719.96 / $2,145.71 / $2,145.71	Professional		$1,719.96	$2,145.71	$2,145.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,268.69 / $2,548.94 / $3,007.75	Professional		$2,268.69	$2,548.94	$3,007.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,888.23 / $2,059.88 / $2,403.19	Professional		$1,888.23	$2,059.88	$2,403.19
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 $1,914.14 / $2,125.41 / $2,722.73	Professional		$1,914.14	$2,125.41	$2,722.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,550.34 / $2,640.12	Professional		$29.27	$1,550.34	$2,640.12