Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.39 / $1,167.70 / $1,167.70	Professional		$1,069.39	$1,167.70	$1,167.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.18 / $1,277.21 / $1,532.66	Professional		$1,006.18	$1,277.21	$1,532.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,477.29 / $1,659.78 / $2,084.37	Professional		$1,477.29	$1,659.78	$2,084.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.95 / $1,226.11 / $1,430.48	Professional		$1,123.95	$1,226.11	$1,430.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.21 / $1,277.21 / $1,802.67	Professional		$1,042.21	$1,277.21	$1,802.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,019.97 / $1,847.35	Professional		$29.27	$1,019.97	$1,847.35