Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $6,084.00 / $6,084.00	Facility		$1,861.43	$6,084.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $842.36 / $4,779.35	Professional		$759.86	$842.36	$4,779.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.19 / $1,141.21 / $1,141.21	Professional		$902.19	$1,141.21	$1,141.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,228.00 / $1,412.93 / $8,902.00	Professional		$1,228.00	$1,412.93	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.27 / $1,095.56 / $1,278.16	Professional		$1,004.27	$1,095.56	$1,278.16
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 $1,030.24 / $1,141.21 / $1,441.65	Professional		$1,030.24	$1,141.21	$1,441.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,095.65 / $3,692.19 / $9,324.00	Professional		$1,095.65	$3,692.19	$9,324.00