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 $795.69 / $873.73 / $873.73	Professional		$795.69	$873.73	$873.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.94 / $1,171.46 / $1,171.46	Professional		$931.94	$1,171.46	$1,171.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.77 / $1,414.27 / $1,668.84	Professional		$1,258.77	$1,414.27	$1,668.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,030.89 / $1,124.59 / $1,312.04	Professional		$1,030.89	$1,124.59	$1,312.04
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 $955.91 / $1,171.46 / $1,485.89	Professional		$955.91	$1,171.46	$1,485.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,149.15 / $5,316.74 / $11,157.30	Professional		$1,149.15	$5,316.74	$11,157.30