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 $1,099.49 / $1,099.49 / $1,099.49	Professional		$1,099.49	$1,099.49	$1,099.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.27 / $1,409.20 / $1,691.04	Professional		$1,091.27	$1,409.20	$1,691.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,474.03 / $1,613.16 / $1,904.53	Professional		$1,474.03	$1,613.16	$1,904.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.09 / $1,352.83 / $1,578.30	Professional		$1,240.09	$1,352.83	$1,578.30
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 $1,130.01 / $1,409.20 / $1,797.18	Professional		$1,130.01	$1,409.20	$1,797.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,089.26 / $1,516.86	Professional		$29.27	$1,089.26	$1,516.86