Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.97 / $1,252.50 / $2,165.17	Professional		$1,179.97	$1,252.50	$2,165.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.96 / $1,721.88 / $2,066.25	Professional		$1,333.96	$1,721.88	$2,066.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,850.14 / $2,024.77 / $7,137.00	Professional		$1,850.14	$2,024.77	$7,137.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,515.25 / $1,653.00 / $1,928.50	Professional		$1,515.25	$1,653.00	$1,928.50
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 $1,405.05 / $1,721.88 / $2,199.89	Professional		$1,405.05	$1,721.88	$2,199.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,170.54 / $1,840.89 / $12,905.00	Professional		$1,170.54	$1,840.89	$12,905.00