Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $8,431.00 / $8,431.00	Facility		$2,583.13	$8,431.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.21 / $1,221.55 / $1,670.31	Professional		$1,153.21	$1,221.55	$1,670.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.17 / $1,309.23 / $1,571.07	Professional		$1,131.17	$1,309.23	$1,571.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,617.61 / $1,817.43 / $13,672.00	Professional		$1,617.61	$1,817.43	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.11 / $1,256.85 / $1,466.33	Professional		$1,152.11	$1,256.85	$1,466.33
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 $977.93 / $1,309.23 / $1,685.93	Professional		$977.93	$1,309.23	$1,685.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,220.83 / $4,300.00 / $9,511.00	Professional		$1,220.83	$4,300.00	$9,511.00