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 $1,146.68 / $1,179.96 / $1,179.96	Professional		$1,146.68	$1,179.96	$1,179.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.11 / $1,366.95 / $1,640.34	Professional		$1,070.11	$1,366.95	$1,640.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,441.66 / $1,577.74 / $1,862.71	Professional		$1,441.66	$1,577.74	$1,862.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.92 / $1,312.27 / $1,530.98	Professional		$1,202.92	$1,312.27	$1,530.98
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 $1,115.43 / $1,366.95 / $1,728.86	Professional		$1,115.43	$1,366.95	$1,728.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,209.50 / $1,483.56	Professional		$29.27	$1,209.50	$1,483.56