Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.82 / $1,140.56 / $1,140.56	Professional		$948.82	$1,140.56	$1,140.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.75 / $1,516.23 / $1,516.23	Professional		$1,232.75	$1,516.23	$1,516.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,618.37 / $1,818.29 / $2,145.58	Professional		$1,618.37	$1,818.29	$2,145.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,334.28 / $1,455.58 / $1,698.17	Professional		$1,334.28	$1,455.58	$1,698.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.24 / $1,516.23 / $1,951.10	Professional		$1,237.24	$1,516.23	$1,951.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,483.25 / $2,171.25	Professional		$29.27	$1,483.25	$2,171.25