Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.38 / $1,325.62 / $1,743.57	Professional		$1,278.38	$1,325.62	$1,743.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.92 / $1,775.56 / $3,677.72	Professional		$1,342.92	$1,775.56	$3,677.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,907.68 / $2,143.34 / $2,464.84	Professional		$1,907.68	$2,143.34	$2,464.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,505.68 / $1,704.54 / $1,988.63	Professional		$1,505.68	$1,704.54	$1,988.63
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 $1,403.49 / $1,824.53 / $2,924.37	Professional		$1,403.49	$1,824.53	$2,924.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,369.33 / $2,272.17	Professional		$29.27	$1,369.33	$2,272.17