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 $1,141.06 / $1,141.06 / $1,141.06	Professional		$1,141.06	$1,141.06	$1,141.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.23 / $1,414.83 / $1,697.79	Professional		$1,098.23	$1,414.83	$1,697.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,480.59 / $1,663.49 / $8,430.00	Professional		$1,480.59	$1,663.49	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,245.05 / $1,358.23 / $1,584.60	Professional		$1,245.05	$1,358.23	$1,584.60
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 $1,128.78 / $1,414.83 / $1,785.00	Professional		$1,128.78	$1,414.83	$1,785.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,130.51 / $5,212.49 / $11,157.30	Professional		$1,130.51	$5,212.49	$11,157.30