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 $1,080.81 / $1,080.81 / $1,080.81	Professional		$1,080.81	$1,080.81	$1,080.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,699.16 / $2,187.04 / $2,624.45	Professional		$1,699.16	$2,187.04	$2,624.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,749.73 / $1,852.66 / $2,130.56	Professional		$1,749.73	$1,852.66	$2,130.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,924.59 / $2,099.56 / $2,449.48	Professional		$1,924.59	$2,099.56	$2,449.48
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 $1,273.14 / $2,187.04 / $2,827.22	Professional		$1,273.14	$2,187.04	$2,827.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,573.19 / $2,350.53	Professional		$29.27	$1,573.19	$2,350.53