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 $935.92 / $1,146.96 / $1,376.36	Professional		$935.92	$1,146.96	$1,376.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $1,315.98 / $1,594.20	Professional		$1,202.48	$1,315.98	$1,594.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,009.33 / $1,101.08 / $1,284.59	Professional		$1,009.33	$1,101.08	$1,284.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $935.92 / $1,146.96 / $2,326.56	Professional		$935.92	$1,146.96	$2,326.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $821.73 / $4,057.27 / $8,007.00	Professional		$821.73	$4,057.27	$8,007.00