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 $903.84 / $991.86 / $991.86	Professional		$903.84	$991.86	$991.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.16 / $1,296.28 / $1,296.28	Professional		$1,063.16	$1,296.28	$1,296.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,382.36 / $1,590.53 / $4,334.00	Professional		$1,382.36	$1,590.53	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.72 / $1,244.42 / $1,451.83	Professional		$1,140.72	$1,244.42	$1,451.83
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 $1,057.76 / $1,296.28 / $1,665.03	Professional		$1,057.76	$1,296.28	$1,665.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,266.95 / $5,316.74 / $11,157.30	Professional		$1,266.95	$5,316.74	$11,157.30