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 $1,731.43 / $1,737.74 / $2,603.57	Professional		$1,731.43	$1,737.74	$2,603.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.62 / $2,077.11 / $2,492.54	Professional		$1,612.62	$2,077.11	$2,492.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,222.16 / $2,496.66 / $8,430.00	Professional		$2,222.16	$2,496.66	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,827.86 / $1,994.03 / $2,326.37	Professional		$1,827.86	$1,994.03	$2,326.37
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 $1,684.96 / $2,077.11 / $2,671.38	Professional		$1,684.96	$2,077.11	$2,671.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,966.36 / $2,872.53	Professional		$29.27	$1,966.36	$2,872.53