Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.21 / $1,133.21 / $1,684.50	Professional		$1,133.21	$1,133.21	$1,684.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.69 / $1,362.56 / $1,362.56	Professional		$1,108.69	$1,362.56	$1,362.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,487.68 / $1,711.71 / $11,782.00	Professional		$1,487.68	$1,711.71	$11,782.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.06 / $1,308.06 / $1,526.07	Professional		$1,199.06	$1,308.06	$1,526.07
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 $1,111.84 / $1,374.14 / $1,790.52	Professional		$1,111.84	$1,374.14	$1,790.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $1,487.89 / $12,905.00	Professional		$187.45	$1,487.89	$12,905.00