Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.93 / $1,473.55 / $2,385.69	Professional		$1,022.93	$1,473.55	$2,385.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.91 / $1,834.45 / $2,201.34	Professional		$1,496.91	$1,834.45	$2,201.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,460.60 / $1,682.37 / $2,218.52	Professional		$1,460.60	$1,682.37	$2,218.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.66 / $1,467.56 / $1,834.45	Professional		$1,018.66	$1,467.56	$1,834.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,496.91 / $1,834.45 / $3,780.08	Professional		$1,496.91	$1,834.45	$3,780.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $973.73 / $4,237.00 / $5,401.00	Professional		$973.73	$4,237.00	$5,401.00