Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.10 / $1,053.10 / $1,053.10	Professional		$1,053.10	$1,053.10	$1,053.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.19 / $1,294.06 / $1,552.88	Professional		$1,003.19	$1,294.06	$1,552.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,355.45 / $1,522.89 / $5,851.00	Professional		$1,355.45	$1,522.89	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,138.78 / $1,242.30 / $1,449.35	Professional		$1,138.78	$1,242.30	$1,449.35
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 $1,035.44 / $1,294.06 / $1,647.50	Professional		$1,035.44	$1,294.06	$1,647.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,208.19 / $3,191.04 / $8,000.00	Professional		$1,208.19	$3,191.04	$8,000.00