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 $1,642.06 / $1,642.06 / $1,642.06	Professional		$1,642.06	$1,642.06	$1,642.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,559.54 / $2,000.50 / $2,400.60	Professional		$1,559.54	$2,000.50	$2,400.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,105.29 / $2,365.35 / $2,750.41	Professional		$2,105.29	$2,365.35	$2,750.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,760.44 / $1,920.48 / $2,240.56	Professional		$1,760.44	$1,920.48	$2,240.56
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 $1,632.41 / $2,000.50 / $2,601.48	Professional		$1,632.41	$2,000.50	$2,601.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,761.64 / $2,773.09	Professional		$29.27	$1,761.64	$2,773.09