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 $834.65 / $977.61 / $1,285.16	Professional		$834.65	$977.61	$1,285.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.76 / $1,033.95 / $1,169.80	Professional		$812.76	$1,033.95	$1,169.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,316.20 / $1,514.40 / $11,782.00	Professional		$1,316.20	$1,514.40	$11,782.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $909.88 / $992.59 / $1,158.02	Professional		$909.88	$992.59	$1,158.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.70 / $1,033.95 / $1,339.67	Professional		$843.70	$1,033.95	$1,339.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,014.02 / $12,905.00	Professional		$29.27	$1,014.02	$12,905.00