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 $1,476.43 / $1,476.43 / $1,476.43	Professional		$1,476.43	$1,476.43	$1,476.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.84 / $1,705.88 / $2,047.05	Professional		$1,335.84	$1,705.88	$2,047.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,805.81 / $2,028.88 / $2,359.16	Professional		$1,805.81	$2,028.88	$2,359.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.17 / $1,637.64 / $1,910.58	Professional		$1,501.17	$1,637.64	$1,910.58
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 $1,391.99 / $1,705.88 / $2,249.57	Professional		$1,391.99	$1,705.88	$2,249.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,261.04 / $2,294.00	Professional		$29.27	$1,261.04	$2,294.00