Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.49 / $1,502.49 / $1,502.49	Professional		$1,502.49	$1,502.49	$1,502.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.51 / $1,894.04 / $2,272.85	Professional		$1,478.51	$1,894.04	$2,272.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,002.42 / $2,249.78 / $2,825.31	Professional		$2,002.42	$2,249.78	$2,825.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,666.75 / $1,818.28 / $2,121.32	Professional		$1,666.75	$1,818.28	$2,121.32
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 $1,545.53 / $1,894.04 / $2,460.36	Professional		$1,545.53	$1,894.04	$2,460.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,368.38 / $2,523.10	Professional		$29.27	$1,368.38	$2,523.10