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 $1,076.92 / $1,076.92 / $1,076.92	Professional		$1,076.92	$1,076.92	$1,076.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.90 / $1,334.70 / $1,601.64	Professional		$1,033.90	$1,334.70	$1,601.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,397.01 / $1,528.87 / $1,805.02	Professional		$1,397.01	$1,528.87	$1,805.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.54 / $1,281.31 / $1,494.86	Professional		$1,174.54	$1,281.31	$1,494.86
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 $1,076.70 / $1,334.70 / $1,697.25	Professional		$1,076.70	$1,334.70	$1,697.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,112.84 / $3,191.04 / $8,000.00	Professional		$1,112.84	$3,191.04	$8,000.00