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 $1,236.31 / $1,236.31 / $1,236.31	Professional		$1,236.31	$1,236.31	$1,236.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.16 / $1,532.21 / $1,838.66	Professional		$1,185.16	$1,532.21	$1,838.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,600.01 / $1,694.12 / $1,948.24	Professional		$1,600.01	$1,694.12	$1,948.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.35 / $1,470.92 / $1,716.08	Professional		$1,348.35	$1,470.92	$1,716.08
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 $1,219.60 / $1,532.21 / $1,951.53	Professional		$1,219.60	$1,532.21	$1,951.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,218.79 / $1,646.50	Professional		$29.27	$1,218.79	$1,646.50