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 $1,137.78 / $1,137.78 / $1,137.78	Professional		$1,137.78	$1,137.78	$1,137.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.30 / $1,297.09 / $1,556.52	Professional		$1,009.30	$1,297.09	$1,556.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,503.38 / $1,591.81 / $1,830.58	Professional		$1,503.38	$1,591.81	$1,830.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.45 / $1,245.22 / $1,452.75	Professional		$1,141.45	$1,245.22	$1,452.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.43 / $1,297.09 / $1,672.35	Professional		$1,058.43	$1,297.09	$1,672.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,240.49 / $1,409.18	Professional		$29.27	$1,240.49	$1,409.18