Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.02 / $1,380.81 / $6,589.00	Professional		$1,140.02	$1,380.81	$6,589.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.53 / $1,849.91 / $2,219.90	Professional		$1,509.53	$1,849.91	$2,219.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,959.52 / $2,144.48 / $2,597.86	Professional		$1,959.52	$2,144.48	$2,597.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,627.92 / $1,775.92 / $2,071.90	Professional		$1,627.92	$1,775.92	$2,071.90
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 $1,509.53 / $1,849.91 / $3,997.98	Professional		$1,509.53	$1,849.91	$3,997.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $2,575.00 / $6,124.00	Professional		$1,161.00	$2,575.00	$6,124.00