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 $1,072.81 / $1,358.98 / $1,835.64	Professional		$1,072.81	$1,358.98	$1,835.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.82 / $1,440.76 / $1,728.92	Professional		$1,244.82	$1,440.76	$1,728.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,568.71 / $1,762.49 / $13,672.00	Professional		$1,568.71	$1,762.49	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,267.86 / $1,383.13 / $1,613.65	Professional		$1,267.86	$1,383.13	$1,613.65
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 $1,081.58 / $1,406.81 / $1,860.18	Professional		$1,081.58	$1,406.81	$1,860.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,132.81 / $7,926.00 / $11,938.00	Professional		$1,132.81	$7,926.00	$11,938.00