Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.95 / $1,434.95 / $1,434.95	Professional		$1,434.95	$1,434.95	$1,434.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.07 / $1,683.16 / $2,019.80	Professional		$1,313.07	$1,683.16	$2,019.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,840.73 / $2,165.57 / $2,597.17	Professional		$1,840.73	$2,165.57	$2,597.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.18 / $1,615.84 / $1,885.14	Professional		$1,481.18	$1,615.84	$1,885.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.46 / $1,683.16 / $2,181.83	Professional		$1,373.46	$1,683.16	$2,181.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.12 / $1,631.86 / $2,216.79	Professional		$229.12	$1,631.86	$2,216.79