Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.16 / $1,349.46 / $1,619.36	Professional		$1,101.16	$1,349.46	$1,619.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,407.18 / $1,581.00 / $4,765.00	Professional		$1,407.18	$1,581.00	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.53 / $1,295.48 / $1,511.40	Professional		$1,187.53	$1,295.48	$1,511.40
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 $1,084.43 / $1,349.46 / $2,679.50	Professional		$1,084.43	$1,349.46	$2,679.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $961.61 / $4,057.27 / $8,007.00	Professional		$961.61	$4,057.27	$8,007.00