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 $1,133.08 / $1,133.08 / $1,204.51	Professional		$1,133.08	$1,133.08	$1,204.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.46 / $1,560.35 / $1,872.42	Professional		$1,216.46	$1,560.35	$1,872.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,641.31 / $1,888.47 / $2,315.79	Professional		$1,641.31	$1,888.47	$2,315.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,373.11 / $1,497.94 / $1,747.59	Professional		$1,373.11	$1,497.94	$1,747.59
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 $1,271.08 / $1,560.35 / $2,027.55	Professional		$1,271.08	$1,560.35	$2,027.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,127.81 / $2,070.86	Professional		$29.27	$1,127.81	$2,070.86