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 $1,708.87 / $1,708.87 / $1,708.87	Professional		$1,708.87	$1,708.87	$1,708.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.70 / $2,151.26 / $2,581.52	Professional		$1,680.70	$2,151.26	$2,581.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,270.89 / $2,551.41 / $2,966.75	Professional		$2,270.89	$2,551.41	$2,966.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,893.11 / $2,065.21 / $2,409.41	Professional		$1,893.11	$2,065.21	$2,409.41
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 $1,755.05 / $2,151.26 / $2,796.51	Professional		$1,755.05	$2,151.26	$2,796.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,551.84 / $2,508.81	Professional		$29.27	$1,551.84	$2,508.81