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 $1,598.18 / $1,598.18 / $1,598.18	Professional		$1,598.18	$1,598.18	$1,598.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.40 / $1,921.16 / $2,305.40	Professional		$1,490.40	$1,921.16	$2,305.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,044.13 / $2,237.08 / $2,641.14	Professional		$2,044.13	$2,237.08	$2,641.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,690.62 / $1,844.32 / $2,151.69	Professional		$1,690.62	$1,844.32	$2,151.69
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 $1,567.67 / $1,921.16 / $2,471.92	Professional		$1,567.67	$1,921.16	$2,471.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,583.27 / $2,075.96	Professional		$29.27	$1,583.27	$2,075.96