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 $1,248.56 / $1,248.56 / $1,248.56	Professional		$1,248.56	$1,248.56	$1,248.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.39 / $1,558.35 / $1,870.02	Professional		$1,209.39	$1,558.35	$1,870.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,636.06 / $1,732.30 / $1,992.15	Professional		$1,636.06	$1,732.30	$1,992.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,371.35 / $1,496.02 / $1,745.35	Professional		$1,371.35	$1,496.02	$1,745.35
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 $1,261.08 / $1,558.35 / $2,000.90	Professional		$1,261.08	$1,558.35	$2,000.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,118.03 / $1,683.62	Professional		$29.27	$1,118.03	$1,683.62