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 $1,046.54 / $1,282.53 / $1,539.03	Professional		$1,046.54	$1,282.53	$1,539.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,342.75 / $1,469.49 / $1,780.16	Professional		$1,342.75	$1,469.49	$1,780.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,128.61 / $1,231.22 / $1,436.43	Professional		$1,128.61	$1,231.22	$1,436.43
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 $1,046.54 / $1,282.53 / $2,632.94	Professional		$1,046.54	$1,282.53	$2,632.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $917.58 / $4,057.27 / $8,007.00	Professional		$917.58	$4,057.27	$8,007.00