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 $1,169.34 / $1,169.34 / $1,169.34	Professional		$1,169.34	$1,169.34	$1,169.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.86 / $1,388.79 / $1,666.55	Professional		$1,088.86	$1,388.79	$1,666.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,499.94 / $1,685.22 / $3,857.00	Professional		$1,499.94	$1,685.22	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,222.13 / $1,333.24 / $1,555.44	Professional		$1,222.13	$1,333.24	$1,555.44
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 $1,133.25 / $1,388.79 / $1,741.22	Professional		$1,133.25	$1,388.79	$1,741.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,081.63 / $1,511.44	Professional		$29.27	$1,081.63	$1,511.44