Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.39 / $1,472.39 / $1,472.39	Professional		$1,472.39	$1,472.39	$1,472.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.55 / $1,767.69 / $2,121.23	Professional		$1,373.55	$1,767.69	$2,121.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,908.00 / $2,088.10 / $2,465.26	Professional		$1,908.00	$2,088.10	$2,465.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,555.57 / $1,696.98 / $1,979.81	Professional		$1,555.57	$1,696.98	$1,979.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.22 / $1,767.69 / $2,282.44	Professional		$1,442.22	$1,767.69	$2,282.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $2,575.00 / $6,124.00	Professional		$1,161.00	$2,575.00	$6,124.00