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 $925.22 / $925.22 / $975.46	Professional		$925.22	$925.22	$975.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.72 / $1,242.56 / $1,242.56	Professional		$960.72	$1,242.56	$1,242.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,311.09 / $1,473.05 / $1,738.20	Professional		$1,311.09	$1,473.05	$1,738.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.46 / $1,192.85 / $1,391.67	Professional		$1,093.46	$1,192.85	$1,391.67
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 $1,013.93 / $1,242.56 / $1,544.54	Professional		$1,013.93	$1,242.56	$1,544.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $895.95 / $1,522.30	Professional		$29.27	$895.95	$1,522.30