Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.86 / $918.30 / $918.30	Professional		$701.86	$918.30	$918.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.93 / $1,243.23 / $1,243.23	Professional		$1,001.93	$1,243.23	$1,243.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,333.57 / $1,534.38 / $8,902.00	Professional		$1,333.57	$1,534.38	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.04 / $1,193.50 / $1,392.41	Professional		$1,094.04	$1,193.50	$1,392.41
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 $1,014.47 / $1,243.23 / $1,618.14	Professional		$1,014.47	$1,243.23	$1,618.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,030.54 / $1,372.33	Professional		$29.27	$1,030.54	$1,372.33