Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,157.48 / $1,863.81	Professional		$908.20	$1,157.48	$1,863.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.64 / $1,461.39 / $1,753.67	Professional		$1,262.64	$1,461.39	$1,753.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,506.01 / $1,717.89 / $4,765.00	Professional		$1,506.01	$1,717.89	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.02 / $1,402.93 / $1,636.75	Professional		$1,286.02	$1,402.93	$1,636.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,094.69 / $1,426.38 / $1,885.80	Professional		$1,094.69	$1,426.38	$1,885.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,044.86 / $1,573.45	Professional		$29.27	$1,044.86	$1,573.45