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 $1,392.80 / $1,392.80 / $1,392.80	Professional		$1,392.80	$1,392.80	$1,392.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.35 / $1,790.71 / $2,148.86	Professional		$1,396.35	$1,790.71	$2,148.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,885.25 / $2,118.13 / $2,659.97	Professional		$1,885.25	$2,118.13	$2,659.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,575.83 / $1,719.08 / $2,005.60	Professional		$1,575.83	$1,719.08	$2,005.60
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 $1,459.29 / $1,790.71 / $2,332.80	Professional		$1,459.29	$1,790.71	$2,332.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,288.30 / $2,310.59	Professional		$29.27	$1,288.30	$2,310.59