Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.18 / $1,608.18 / $1,608.68	Professional		$1,608.18	$1,608.18	$1,608.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,567.92 / $2,145.71 / $2,145.71	Professional		$1,567.92	$2,145.71	$2,145.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,268.69 / $2,548.94 / $3,007.75	Professional		$2,268.69	$2,548.94	$3,007.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,888.23 / $2,059.88 / $2,403.19	Professional		$1,888.23	$2,059.88	$2,403.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,750.90 / $2,145.71 / $2,722.73	Professional		$1,750.90	$2,145.71	$2,722.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,550.34 / $2,734.07	Professional		$29.27	$1,550.34	$2,734.07