Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $8,499.00	Facility		$2,747.00	$6,966.00	$8,499.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.05 / $1,223.75 / $1,223.75	Professional		$1,173.05	$1,223.75	$1,223.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,401.14 / $1,401.14	Professional		$1,130.00	$1,401.14	$1,401.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,622.77 / $1,823.23 / $2,151.41	Professional		$1,622.77	$1,823.23	$2,151.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.00 / $1,345.09 / $1,569.27	Professional		$1,233.00	$1,345.09	$1,569.27
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 $1,143.33 / $1,401.14 / $1,822.94	Professional		$1,143.33	$1,401.14	$1,822.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,174.49 / $1,851.07	Professional		$29.27	$1,174.49	$1,851.07