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 $1,244.77 / $1,244.77 / $1,868.52	Professional		$1,244.77	$1,244.77	$1,868.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,228.44 / $1,509.05 / $1,509.05	Professional		$1,228.44	$1,509.05	$1,509.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,639.34 / $1,841.85 / $2,173.38	Professional		$1,639.34	$1,841.85	$2,173.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,327.96 / $1,448.69 / $1,690.14	Professional		$1,327.96	$1,448.69	$1,690.14
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 $1,231.38 / $1,509.05 / $1,992.21	Professional		$1,231.38	$1,509.05	$1,992.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,103.48 / $2,104.48	Professional		$29.27	$1,103.48	$2,104.48