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 $1,133.20 / $1,133.20 / $1,723.95	Professional		$1,133.20	$1,133.20	$1,723.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.83 / $1,370.30 / $1,644.36	Professional		$1,062.83	$1,370.30	$1,644.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,437.15 / $1,614.68 / $5,851.00	Professional		$1,437.15	$1,614.68	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,205.85 / $1,315.49 / $1,534.74	Professional		$1,205.85	$1,315.49	$1,534.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.16 / $1,370.30 / $1,747.19	Professional		$1,118.16	$1,370.30	$1,747.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,186.73 / $3,619.79 / $9,324.00	Professional		$1,186.73	$3,619.79	$9,324.00