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 $1,157.89 / $1,157.89 / $1,157.89	Professional		$1,157.89	$1,157.89	$1,157.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.13 / $1,403.83 / $1,684.59	Professional		$1,089.13	$1,403.83	$1,684.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,473.76 / $1,655.82 / $8,430.00	Professional		$1,473.76	$1,655.82	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.36 / $1,347.67 / $1,572.28	Professional		$1,235.36	$1,347.67	$1,572.28
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 $1,145.52 / $1,403.83 / $1,792.73	Professional		$1,145.52	$1,403.83	$1,792.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,180.68 / $3,619.79 / $9,324.00	Professional		$1,180.68	$3,619.79	$9,324.00