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 $1,113.25 / $1,219.32 / $1,506.43	Professional		$1,113.25	$1,219.32	$1,506.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.39 / $1,543.40 / $3,170.29	Professional		$1,257.39	$1,543.40	$3,170.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,656.93 / $1,861.61 / $2,241.73	Professional		$1,656.93	$1,861.61	$2,241.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,308.80 / $1,481.66 / $1,728.61	Professional		$1,308.80	$1,481.66	$1,728.61
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 $1,210.88 / $1,543.40 / $2,110.19	Professional		$1,210.88	$1,543.40	$2,110.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $1,518.59 / $1,952.39	Professional		$213.14	$1,518.59	$1,952.39