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 $910.12 / $910.12 / $910.12	Professional		$910.12	$910.12	$910.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.17 / $1,825.40 / $2,190.48	Professional		$1,417.17	$1,825.40	$2,190.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,580.91 / $1,776.20 / $5,851.00	Professional		$1,580.91	$1,776.20	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,606.35 / $1,752.38 / $2,044.45	Professional		$1,606.35	$1,752.38	$2,044.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.68 / $1,825.40 / $2,352.57	Professional		$1,134.68	$1,825.40	$2,352.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,690.24 / $1,975.71	Professional		$29.27	$1,690.24	$1,975.71