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 $1,240.23 / $1,240.23 / $1,240.23	Professional		$1,240.23	$1,240.23	$1,240.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.65 / $1,600.60 / $1,920.72	Professional		$1,245.65	$1,600.60	$1,920.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,683.61 / $1,842.53 / $2,175.33	Professional		$1,683.61	$1,842.53	$2,175.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,408.53 / $1,536.58 / $1,792.67	Professional		$1,408.53	$1,536.58	$1,792.67
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 $1,297.60 / $1,600.60 / $2,066.07	Professional		$1,297.60	$1,600.60	$2,066.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,262.85 / $1,732.54	Professional		$29.27	$1,262.85	$1,732.54