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 $901.76 / $901.76 / $901.76	Professional		$901.76	$901.76	$901.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.53 / $1,872.98 / $2,247.57	Professional		$1,453.53	$1,872.98	$2,247.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,443.67 / $1,579.94 / $1,865.30	Professional		$1,443.67	$1,579.94	$1,865.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,648.22 / $1,798.06 / $2,097.73	Professional		$1,648.22	$1,798.06	$2,097.73
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 $891.31 / $1,872.98 / $2,411.78	Professional		$891.31	$1,872.98	$2,411.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,344.38 / $2,008.66	Professional		$29.27	$1,344.38	$2,008.66