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 $1,089.28 / $1,594.62 / $5,737.00	Professional		$1,089.28	$1,594.62	$5,737.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.83 / $1,434.84 / $1,721.81	Professional		$1,170.83	$1,434.84	$1,721.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,544.89 / $1,695.82 / $7,402.00	Professional		$1,544.89	$1,695.82	$7,402.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,108.94 / $1,262.66 / $1,434.84	Professional		$1,108.94	$1,262.66	$1,434.84
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 $1,170.83 / $1,434.84 / $2,917.42	Professional		$1,170.83	$1,434.84	$2,917.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $2,575.00 / $6,124.00	Professional		$1,005.00	$2,575.00	$6,124.00