Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.75 / $1,011.75 / $1,011.75	Professional		$1,011.75	$1,011.75	$1,011.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.46 / $1,353.63 / $1,624.35	Professional		$1,056.46	$1,353.63	$1,624.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,430.72 / $1,565.77 / $1,848.58	Professional		$1,430.72	$1,565.77	$1,848.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,191.19 / $1,299.48 / $1,516.06	Professional		$1,191.19	$1,299.48	$1,516.06
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 $1,036.92 / $1,353.63 / $1,659.29	Professional		$1,036.92	$1,353.63	$1,659.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $2,575.00 / $6,124.00	Professional		$1,005.00	$2,575.00	$6,124.00