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 $1,322.21 / $1,322.21 / $1,322.21	Professional		$1,322.21	$1,322.21	$1,322.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.70 / $1,617.34 / $1,940.81	Professional		$1,254.70	$1,617.34	$1,940.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,696.04 / $1,795.81 / $2,065.17	Professional		$1,696.04	$1,795.81	$2,065.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.26 / $1,552.64 / $1,811.42	Professional		$1,423.26	$1,552.64	$1,811.42
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 $1,319.75 / $1,617.34 / $2,073.83	Professional		$1,319.75	$1,617.34	$2,073.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,333.20 / $1,745.33	Professional		$29.27	$1,333.20	$1,745.33