Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.18 / $1,362.18 / $1,362.18	Professional		$1,362.18	$1,362.18	$1,362.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.95 / $1,607.41 / $1,928.90	Professional		$1,249.95	$1,607.41	$1,928.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,694.87 / $1,854.85 / $2,189.86	Professional		$1,694.87	$1,854.85	$2,189.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,414.52 / $1,543.12 / $1,800.30	Professional		$1,414.52	$1,543.12	$1,800.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.65 / $1,607.41 / $2,076.42	Professional		$1,311.65	$1,607.41	$2,076.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $757.00 / $1,610.00 / $3,725.00	Professional		$757.00	$1,610.00	$3,725.00