Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.89 / $1,317.45 / $1,637.70	Professional		$1,203.89	$1,317.45	$1,637.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.14 / $1,645.03 / $3,420.18	Professional		$1,362.14	$1,645.03	$3,420.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,773.59 / $1,992.68 / $2,291.58	Professional		$1,773.59	$1,992.68	$2,291.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.98 / $1,579.22 / $1,842.43	Professional		$1,394.98	$1,579.22	$1,842.43
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 $1,311.60 / $1,645.03 / $2,313.36	Professional		$1,311.60	$1,645.03	$2,313.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,254.75 / $2,026.16	Professional		$29.27	$1,254.75	$2,026.16