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 $951.05 / $1,165.50 / $1,398.60	Professional		$951.05	$1,165.50	$1,398.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,218.02 / $1,332.98 / $1,614.81	Professional		$1,218.02	$1,332.98	$1,614.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.64 / $1,118.88 / $1,305.35	Professional		$1,025.64	$1,118.88	$1,305.35
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 $951.05 / $1,165.50 / $2,390.96	Professional		$951.05	$1,165.50	$2,390.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $832.35 / $2,650.00 / $6,124.00	Professional		$832.35	$2,650.00	$6,124.00