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 $1,112.70 / $1,124.78 / $1,124.78	Professional		$1,112.70	$1,124.78	$1,124.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.83 / $1,328.80 / $1,594.56	Professional		$1,041.83	$1,328.80	$1,594.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,410.63 / $1,543.79 / $1,822.62	Professional		$1,410.63	$1,543.79	$1,822.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,169.33 / $1,275.65 / $1,488.26	Professional		$1,169.33	$1,275.65	$1,488.26
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 $1,084.30 / $1,328.80 / $1,649.15	Professional		$1,084.30	$1,328.80	$1,649.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $995.82 / $1,451.64	Professional		$29.27	$995.82	$1,451.64