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 $936.78 / $1,032.85 / $1,307.74	Professional		$936.78	$1,032.85	$1,307.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.79 / $1,355.21 / $2,751.96	Professional		$1,047.79	$1,355.21	$2,751.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,452.73 / $1,632.18 / $1,965.45	Professional		$1,452.73	$1,632.18	$1,965.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,149.22 / $1,301.00 / $1,517.84	Professional		$1,149.22	$1,301.00	$1,517.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.35 / $1,355.21 / $1,833.38	Professional		$1,027.35	$1,355.21	$1,833.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $1,264.04 / $1,615.75	Professional		$186.87	$1,264.04	$1,615.75