Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.60 / $1,229.60 / $1,229.60	Professional		$1,229.60	$1,229.60	$1,229.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.63 / $1,396.63 / $1,613.52	Professional		$1,396.63	$1,396.63	$1,613.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,783.89 / $1,952.27 / $2,413.48	Professional		$1,783.89	$1,952.27	$2,413.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.03 / $1,340.76 / $1,564.22	Professional		$1,229.03	$1,340.76	$1,564.22
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 $1,139.65 / $1,465.85 / $1,886.33	Professional		$1,139.65	$1,465.85	$1,886.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $195.62 / $1,442.69 / $1,564.95	Professional		$195.62	$1,442.69	$1,564.95