Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.45 / $1,115.75 / $1,338.90	Professional		$910.45	$1,115.75	$1,338.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,206.90 / $1,327.59 / $1,494.41	Professional		$1,206.90	$1,327.59	$1,494.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.90 / $981.86 / $1,115.75	Professional		$844.90	$981.86	$1,115.75
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 $910.45 / $1,115.75 / $2,269.90	Professional		$910.45	$1,115.75	$2,269.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $804.60 / $2,000.00 / $5,304.00	Professional		$804.60	$2,000.00	$5,304.00