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 $1,296.65 / $1,296.65 / $1,296.65	Professional		$1,296.65	$1,296.65	$1,296.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.83 / $1,609.34 / $1,931.21	Professional		$1,245.83	$1,609.34	$1,931.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,683.06 / $1,890.97 / $8,430.00	Professional		$1,683.06	$1,890.97	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,416.22 / $1,544.96 / $1,802.46	Professional		$1,416.22	$1,544.96	$1,802.46
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 $1,305.26 / $1,609.34 / $2,050.55	Professional		$1,305.26	$1,609.34	$2,050.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,505.09 / $2,130.50	Professional		$29.27	$1,505.09	$2,130.50