Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,436.20 / $1,436.20 / $1,436.20	Professional		$1,436.20	$1,436.20	$1,436.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,923.70 / $2,357.48 / $2,828.97	Professional		$1,923.70	$2,357.48	$2,828.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,471.66 / $2,776.98 / $3,229.05	Professional		$2,471.66	$2,776.98	$3,229.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,074.58 / $2,263.17 / $2,640.37	Professional		$2,074.58	$2,263.17	$2,640.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.35 / $2,315.52 / $3,579.35	Professional		$1,630.35	$2,315.52	$3,579.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,899.07 / $2,859.78	Professional		$29.27	$1,899.07	$2,859.78