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 $1,120.20 / $1,202.04 / $1,482.81	Professional		$1,120.20	$1,202.04	$1,482.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.94 / $1,515.46 / $3,119.20	Professional		$1,241.94	$1,515.46	$3,119.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,626.16 / $1,827.04 / $2,101.10	Professional		$1,626.16	$1,827.04	$2,101.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,285.10 / $1,454.84 / $1,697.32	Professional		$1,285.10	$1,454.84	$1,697.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.77 / $1,515.46 / $2,216.19	Professional		$1,136.77	$1,515.46	$2,216.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.18 / $1,164.64 / $1,934.17	Professional		$209.18	$1,164.64	$1,934.17