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 $1,194.71 / $1,464.10 / $1,756.92	Professional		$1,194.71	$1,464.10	$1,756.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,534.58 / $1,724.15 / $4,765.00	Professional		$1,534.58	$1,724.15	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.41 / $1,405.54 / $1,639.79	Professional		$1,288.41	$1,405.54	$1,639.79
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 $1,194.71 / $1,464.10 / $3,024.12	Professional		$1,194.71	$1,464.10	$3,024.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,048.68 / $4,057.27 / $8,007.00	Professional		$1,048.68	$4,057.27	$8,007.00