Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.17 / $1,082.17 / $1,082.17	Professional		$1,082.17	$1,082.17	$1,082.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.15 / $1,151.16 / $1,381.40	Professional		$904.15	$1,151.16	$1,381.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,298.65 / $1,421.22 / $1,677.93	Professional		$1,298.65	$1,421.22	$1,677.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.02 / $1,105.11 / $1,289.30	Professional		$1,013.02	$1,105.11	$1,289.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.35 / $1,190.73 / $1,533.08	Professional		$939.35	$1,190.73	$1,533.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $850.93 / $1,281.40	Professional		$29.27	$850.93	$1,281.40