Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.56 / $1,121.56 / $1,121.56	Professional		$1,121.56	$1,121.56	$1,121.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.16 / $1,367.70 / $1,641.24	Professional		$1,061.16	$1,367.70	$1,641.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,434.58 / $1,569.99 / $1,853.56	Professional		$1,434.58	$1,569.99	$1,853.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.58 / $1,312.99 / $1,531.82	Professional		$1,203.58	$1,312.99	$1,531.82
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 $1,116.04 / $1,367.70 / $1,744.32	Professional		$1,116.04	$1,367.70	$1,744.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,156.94 / $3,619.79 / $9,324.00	Professional		$1,156.94	$3,619.79	$9,324.00