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 $1,099.22 / $1,166.08 / $2,009.22	Professional		$1,099.22	$1,166.08	$2,009.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.74 / $1,600.05 / $1,920.06	Professional		$1,227.74	$1,600.05	$1,920.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,679.47 / $1,838.00 / $2,169.98	Professional		$1,679.47	$1,838.00	$2,169.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,408.04 / $1,536.05 / $1,792.06	Professional		$1,408.04	$1,536.05	$1,792.06
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 $1,296.67 / $1,600.05 / $2,044.31	Professional		$1,296.67	$1,600.05	$2,044.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,310.59 / $1,728.28	Professional		$29.27	$1,310.59	$1,728.28