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 $1,057.20 / $1,295.58 / $1,554.71	Professional		$1,057.20	$1,295.58	$1,554.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,355.78 / $1,483.76 / $1,797.45	Professional		$1,355.78	$1,483.76	$1,797.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.11 / $1,243.76 / $1,451.06	Professional		$1,140.11	$1,243.76	$1,451.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.20 / $1,295.58 / $2,663.70	Professional		$1,057.20	$1,295.58	$2,663.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $932.46 / $4,057.27 / $8,007.00	Professional		$932.46	$4,057.27	$8,007.00