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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.42 / $1,245.60 / $1,494.74	Professional		$1,016.42	$1,245.60	$1,494.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,250.95 / $1,369.02 / $1,658.45	Professional		$1,250.95	$1,369.02	$1,658.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.14 / $1,195.79 / $1,395.09	Professional		$1,096.14	$1,195.79	$1,395.09
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 $1,016.42 / $1,245.60 / $2,489.64	Professional		$1,016.42	$1,245.60	$2,489.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $864.82 / $2,650.00 / $6,124.00	Professional		$864.82	$2,650.00	$6,124.00