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 $1,521.44 / $1,521.44 / $1,521.44	Professional		$1,521.44	$1,521.44	$1,521.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.31 / $1,744.08 / $2,092.89	Professional		$1,370.31	$1,744.08	$2,092.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,932.67 / $2,171.41 / $5,768.00	Professional		$1,932.67	$2,171.41	$5,768.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,534.79 / $1,674.31 / $1,953.36	Professional		$1,534.79	$1,674.31	$1,953.36
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 $1,423.17 / $1,744.08 / $2,215.77	Professional		$1,423.17	$1,744.08	$2,215.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,442.37 / $1,907.30	Professional		$29.27	$1,442.37	$1,907.30