Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.00 / $1,034.00 / $1,034.00	Professional		$1,034.00	$1,034.00	$1,034.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.43 / $1,294.10 / $1,552.94	Professional		$1,006.43	$1,294.10	$1,552.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,354.93 / $1,482.82 / $1,750.65	Professional		$1,354.93	$1,482.82	$1,750.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,138.82 / $1,242.34 / $1,449.41	Professional		$1,138.82	$1,242.34	$1,449.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.50 / $1,294.10 / $1,663.35	Professional		$1,038.50	$1,294.10	$1,663.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $4,653.22 / $9,324.00	Professional		$1,415.00	$4,653.22	$9,324.00