Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.97 / $1,179.97 / $1,179.97	Professional		$1,179.97	$1,179.97	$1,179.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.99 / $1,425.64 / $1,710.77	Professional		$1,107.99	$1,425.64	$1,710.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,500.51 / $1,642.14 / $1,938.74	Professional		$1,500.51	$1,642.14	$1,938.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,254.56 / $1,368.61 / $1,596.71	Professional		$1,254.56	$1,368.61	$1,596.71
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 $1,163.32 / $1,425.64 / $1,829.07	Professional		$1,163.32	$1,425.64	$1,829.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,220.40 / $5,212.49 / $11,157.30	Professional		$1,220.40	$5,212.49	$11,157.30