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 $1,474.77 / $1,474.77 / $1,474.77	Professional		$1,474.77	$1,474.77	$1,474.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,978.71 / $1,978.71 / $2,042.04	Professional		$1,978.71	$1,978.71	$2,042.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,279.10 / $2,622.28 / $13,672.00	Professional		$2,279.10	$2,622.28	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,796.99 / $1,960.36 / $2,287.08	Professional		$1,796.99	$1,960.36	$2,287.08
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 $1,666.30 / $2,060.48 / $2,698.59	Professional		$1,666.30	$2,060.48	$2,698.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,950.21 / $2,269.23	Professional		$29.27	$1,950.21	$2,269.23