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 $1,248.63 / $1,313.32 / $1,313.32	Professional		$1,248.63	$1,313.32	$1,313.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.54 / $1,493.25 / $1,493.46	Professional		$1,202.54	$1,493.25	$1,493.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,686.68 / $1,895.04 / $2,236.15	Professional		$1,686.68	$1,895.04	$2,236.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,314.06 / $1,433.52 / $1,672.44	Professional		$1,314.06	$1,433.52	$1,672.44
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 $1,218.49 / $1,493.25 / $1,940.93	Professional		$1,218.49	$1,493.25	$1,940.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $1,436.43 / $1,964.00	Professional		$201.60	$1,436.43	$1,964.00