Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $8,499.00	Facility		$2,747.00	$6,966.00	$8,499.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.85 / $1,153.85 / $1,153.85	Professional		$1,153.85	$1,153.85	$1,153.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.01 / $1,472.01 / $1,513.13	Professional		$1,472.01	$1,472.01	$1,513.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,602.18 / $1,753.41 / $2,167.66	Professional		$1,602.18	$1,753.41	$2,167.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,331.55 / $1,452.60 / $1,694.70	Professional		$1,331.55	$1,452.60	$1,694.70
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 $1,234.71 / $1,513.13 / $1,987.82	Professional		$1,234.71	$1,513.13	$1,987.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,519.56 / $2,081.02	Professional		$29.27	$1,519.56	$2,081.02