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 $1,519.64 / $2,280.29 / $7,611.00	Professional		$1,519.64	$2,280.29	$7,611.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.30 / $1,819.75 / $2,183.69	Professional		$1,412.30	$1,819.75	$2,183.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,926.76 / $2,108.64 / $2,489.50	Professional		$1,926.76	$2,108.64	$2,489.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,601.38 / $1,746.96 / $2,038.12	Professional		$1,601.38	$1,746.96	$2,038.12
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 $1,484.92 / $1,819.75 / $2,342.39	Professional		$1,484.92	$1,819.75	$2,342.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,494.38 / $1,968.24	Professional		$29.27	$1,494.38	$1,968.24