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 $1,294.58 / $1,294.58 / $1,294.58	Professional		$1,294.58	$1,294.58	$1,294.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.21 / $1,649.33 / $1,979.19	Professional		$1,282.21	$1,649.33	$1,979.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,731.70 / $1,945.61 / $3,857.00	Professional		$1,731.70	$1,945.61	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,451.41 / $1,583.35 / $1,847.24	Professional		$1,451.41	$1,583.35	$1,847.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.20 / $1,649.33 / $1,924.85	Professional		$1,272.20	$1,649.33	$1,924.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,283.81 / $1,768.11	Professional		$29.27	$1,283.81	$1,768.11