Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.29 / $1,315.23 / $1,991.27	Professional		$1,310.29	$1,315.23	$1,991.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.40 / $1,586.93 / $1,904.31	Professional		$1,232.40	$1,586.93	$1,904.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,675.67 / $1,833.84 / $2,165.07	Professional		$1,675.67	$1,833.84	$2,165.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,396.49 / $1,523.45 / $1,777.36	Professional		$1,396.49	$1,523.45	$1,777.36
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 $1,294.93 / $1,586.93 / $2,036.37	Professional		$1,294.93	$1,586.93	$2,036.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,342.17 / $1,716.84	Professional		$29.27	$1,342.17	$1,716.84