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 $1,705.20 / $1,705.20 / $1,705.20	Professional		$1,705.20	$1,705.20	$1,705.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.76 / $2,042.26 / $2,450.71	Professional		$1,606.76	$2,042.26	$2,450.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,170.42 / $2,438.55 / $2,835.53	Professional		$2,170.42	$2,438.55	$2,835.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,797.19 / $1,960.57 / $2,287.33	Professional		$1,797.19	$1,960.57	$2,287.33
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 $1,666.49 / $2,042.26 / $2,639.52	Professional		$1,666.49	$2,042.26	$2,639.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,483.20 / $2,881.59	Professional		$29.27	$1,483.20	$2,881.59