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 $1,126.83 / $1,126.83 / $1,126.83	Professional		$1,126.83	$1,126.83	$1,126.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.23 / $1,388.11 / $1,665.74	Professional		$1,074.23	$1,388.11	$1,665.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,451.42 / $1,536.80 / $1,767.31	Professional		$1,451.42	$1,536.80	$1,767.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.54 / $1,332.59 / $1,554.69	Professional		$1,221.54	$1,332.59	$1,554.69
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 $1,104.71 / $1,388.11 / $1,768.22	Professional		$1,104.71	$1,388.11	$1,768.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,107.46 / $1,493.61	Professional		$29.27	$1,107.46	$1,493.61