Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.54 / $1,093.54 / $1,093.54	Professional		$1,093.54	$1,093.54	$1,093.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.39 / $1,471.78 / $1,766.13	Professional		$1,081.39	$1,471.78	$1,766.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,549.16 / $1,740.53 / $3,857.00	Professional		$1,549.16	$1,740.53	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.16 / $1,412.90 / $1,648.39	Professional		$1,295.16	$1,412.90	$1,648.39
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 $1,174.44 / $1,471.78 / $1,859.37	Professional		$1,174.44	$1,471.78	$1,859.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $992.40 / $2,000.00 / $5,304.00	Professional		$992.40	$2,000.00	$5,304.00