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 $1,062.39 / $1,211.20 / $1,969.03	Professional		$1,062.39	$1,211.20	$1,969.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.70 / $1,569.49 / $1,883.39	Professional		$1,280.70	$1,569.49	$1,883.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,672.63 / $1,830.51 / $2,217.52	Professional		$1,672.63	$1,830.51	$2,217.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,381.15 / $1,506.71 / $1,757.83	Professional		$1,381.15	$1,506.71	$1,757.83
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 $1,280.70 / $1,580.47 / $3,429.34	Professional		$1,280.70	$1,580.47	$3,429.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,106.00 / $2,575.00 / $6,124.00	Professional		$1,106.00	$2,575.00	$6,124.00