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 $1,671.92 / $1,671.92 / $1,671.92	Professional		$1,671.92	$1,671.92	$1,671.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.41 / $1,915.59 / $2,298.71	Professional		$1,487.41	$1,915.59	$2,298.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,157.96 / $2,361.66 / $2,788.22	Professional		$2,157.96	$2,361.66	$2,788.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,685.72 / $1,838.96 / $2,145.46	Professional		$1,685.72	$1,838.96	$2,145.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.12 / $1,915.59 / $2,468.96	Professional		$1,563.12	$1,915.59	$2,468.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,374.74 / $2,070.19	Professional		$29.27	$1,374.74	$2,070.19