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 $954.13 / $954.13 / $954.13	Professional		$954.13	$954.13	$954.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,480.82 / $1,907.99 / $2,289.59	Professional		$1,480.82	$1,907.99	$2,289.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,552.71 / $1,644.05 / $1,890.66	Professional		$1,552.71	$1,644.05	$1,890.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,679.03 / $1,831.67 / $2,136.94	Professional		$1,679.03	$1,831.67	$2,136.94
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 $1,134.68 / $1,907.99 / $2,458.32	Professional		$1,134.68	$1,907.99	$2,458.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,370.16 / $2,047.18	Professional		$29.27	$1,370.16	$2,047.18