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 $1,143.76 / $1,143.76 / $1,143.76	Professional		$1,143.76	$1,143.76	$1,143.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.83 / $1,403.48 / $1,684.17	Professional		$1,087.83	$1,403.48	$1,684.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,470.02 / $1,651.62 / $8,011.80	Professional		$1,470.02	$1,651.62	$8,011.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.06 / $1,347.34 / $1,571.89	Professional		$1,235.06	$1,347.34	$1,571.89
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 $1,132.94 / $1,403.48 / $1,787.25	Professional		$1,132.94	$1,403.48	$1,787.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,149.00 / $1,512.76	Professional		$29.27	$1,149.00	$1,512.76