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 $1,274.46 / $1,274.46 / $1,274.46	Professional		$1,274.46	$1,274.46	$1,274.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.44 / $1,614.74 / $1,937.69	Professional		$1,250.44	$1,614.74	$1,937.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,688.59 / $1,847.98 / $2,181.76	Professional		$1,688.59	$1,847.98	$2,181.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.97 / $1,550.15 / $1,808.51	Professional		$1,420.97	$1,550.15	$1,808.51
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 $1,292.82 / $1,614.74 / $2,056.86	Professional		$1,292.82	$1,614.74	$2,056.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.11 / $5,212.49 / $11,157.30	Professional		$1,191.11	$5,212.49	$11,157.30