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 $868.93 / $868.93 / $889.20	Professional		$868.93	$868.93	$889.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.41 / $1,111.08 / $1,111.08	Professional		$858.41	$1,111.08	$1,111.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,190.74 / $1,337.83 / $1,578.64	Professional		$1,190.74	$1,337.83	$1,578.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.75 / $1,066.63 / $1,244.40	Professional		$977.75	$1,066.63	$1,244.40
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 $1,082.95 / $1,132.18 / $1,444.71	Professional		$1,082.95	$1,132.18	$1,444.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $813.71 / $1,506.24	Professional		$29.27	$813.71	$1,506.24