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 $1,270.73 / $1,270.73 / $1,270.73	Professional		$1,270.73	$1,270.73	$1,270.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.25 / $1,470.44 / $1,764.53	Professional		$1,145.25	$1,470.44	$1,764.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,636.73 / $1,733.01 / $1,992.97	Professional		$1,636.73	$1,733.01	$1,992.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,293.99 / $1,411.62 / $1,646.89	Professional		$1,293.99	$1,411.62	$1,646.89
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 $1,199.88 / $1,470.44 / $1,902.53	Professional		$1,199.88	$1,470.44	$1,902.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,366.95 / $1,598.82	Professional		$29.27	$1,366.95	$1,598.82