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 $1,001.41 / $1,001.41 / $1,001.41	Professional		$1,001.41	$1,001.41	$1,001.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.26 / $1,309.88 / $1,571.85	Professional		$1,015.26	$1,309.88	$1,571.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,370.93 / $1,451.57 / $1,669.31	Professional		$1,370.93	$1,451.57	$1,669.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.69 / $1,257.48 / $1,467.06	Professional		$1,152.69	$1,257.48	$1,467.06
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 $1,046.52 / $1,309.88 / $1,665.60	Professional		$1,046.52	$1,309.88	$1,665.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,078.30 / $1,410.78	Professional		$29.27	$1,078.30	$1,410.78