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 $2,073.12 / $2,073.12 / $2,073.12	Professional		$2,073.12	$2,073.12	$2,073.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.91 / $2,243.33 / $2,691.99	Professional		$1,764.91	$2,243.33	$2,691.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,384.05 / $2,678.56 / $3,114.60	Professional		$2,384.05	$2,678.56	$3,114.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,974.13 / $2,153.59 / $2,512.52	Professional		$1,974.13	$2,153.59	$2,512.52
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 $1,830.55 / $2,243.33 / $2,901.32	Professional		$1,830.55	$2,243.33	$2,901.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,666.51 / $3,493.34	Professional		$29.27	$1,666.51	$3,493.34