Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.75 / $1,198.75 / $1,272.57	Professional		$1,198.75	$1,198.75	$1,272.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.35 / $1,738.49 / $2,086.19	Professional		$1,356.35	$1,738.49	$2,086.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,831.04 / $2,057.21 / $2,392.11	Professional		$1,831.04	$2,057.21	$2,392.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,529.87 / $1,668.95 / $1,947.11	Professional		$1,529.87	$1,668.95	$1,947.11
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 $1,404.88 / $1,738.49 / $2,245.69	Professional		$1,404.88	$1,738.49	$2,245.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,251.26 / $2,194.61	Professional		$29.27	$1,251.26	$2,194.61