Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.75 / $1,253.94 / $1,936.90	Professional		$1,042.75	$1,253.94	$1,936.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.63 / $1,539.19 / $1,847.03	Professional		$1,192.63	$1,539.19	$1,847.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,710.23 / $1,921.50 / $8,430.00	Professional		$1,710.23	$1,921.50	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.49 / $1,477.62 / $1,723.89	Professional		$1,354.49	$1,477.62	$1,723.89
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 $1,233.73 / $1,539.19 / $1,961.84	Professional		$1,233.73	$1,539.19	$1,961.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,101.46 / $1,658.68	Professional		$29.27	$1,101.46	$1,658.68