Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.63 / $1,031.55 / $1,031.55	Professional		$941.63	$1,031.55	$1,031.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.94 / $1,384.09 / $1,384.09	Professional		$1,103.94	$1,384.09	$1,384.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,487.85 / $1,711.90 / $6,874.20	Professional		$1,487.85	$1,711.90	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,328.72 / $1,550.18	Professional		$1,218.00	$1,328.72	$1,550.18
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 $1,129.42 / $1,384.09 / $1,759.07	Professional		$1,129.42	$1,384.09	$1,759.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,356.67 / $5,316.74 / $11,157.30	Professional		$1,356.67	$5,316.74	$11,157.30