Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.67 / $1,354.67 / $1,354.67	Professional		$1,354.67	$1,354.67	$1,354.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.09 / $1,769.30 / $2,123.16	Professional		$1,375.09	$1,769.30	$2,123.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,856.60 / $2,031.84 / $2,398.83	Professional		$1,856.60	$2,031.84	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.98 / $1,698.53 / $1,981.62	Professional		$1,556.98	$1,698.53	$1,981.62
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 $1,429.04 / $1,769.30 / $2,277.17	Professional		$1,429.04	$1,769.30	$2,277.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,310.24 / $1,910.55	Professional		$29.27	$1,310.24	$1,910.55