Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.02 / $1,074.02 / $1,074.02	Professional		$1,074.02	$1,074.02	$1,074.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.40 / $1,334.38 / $1,601.25	Professional		$1,031.40	$1,334.38	$1,601.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,391.71 / $1,523.07 / $1,798.16	Professional		$1,391.71	$1,523.07	$1,798.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.25 / $1,281.00 / $1,494.50	Professional		$1,174.25	$1,281.00	$1,494.50
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 $1,082.27 / $1,334.38 / $1,689.71	Professional		$1,082.27	$1,334.38	$1,689.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,240.70 / $1,783.99	Professional		$29.27	$1,240.70	$1,783.99