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 $1,328.43 / $1,328.43 / $1,397.30	Professional		$1,328.43	$1,328.43	$1,397.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.85 / $1,960.14 / $2,352.17	Professional		$1,529.85	$1,960.14	$2,352.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,067.81 / $2,323.25 / $2,701.45	Professional		$2,067.81	$2,323.25	$2,701.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,724.92 / $1,881.73 / $2,195.35	Professional		$1,724.92	$1,881.73	$2,195.35
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 $1,595.95 / $1,960.14 / $2,544.11	Professional		$1,595.95	$1,960.14	$2,544.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,413.07 / $2,363.82	Professional		$29.27	$1,413.07	$2,363.82