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 $1,108.58 / $1,108.58 / $1,108.58	Professional		$1,108.58	$1,108.58	$1,108.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.27 / $1,219.33 / $1,463.19	Professional		$953.27	$1,219.33	$1,463.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,390.03 / $1,561.74 / $1,815.98	Professional		$1,390.03	$1,561.74	$1,815.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.01 / $1,170.55 / $1,365.64	Professional		$1,073.01	$1,170.55	$1,365.64
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 $994.97 / $1,219.33 / $1,604.12	Professional		$994.97	$1,219.33	$1,604.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,103.53 / $1,418.59	Professional		$29.27	$1,103.53	$1,418.59