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 $1,027.30 / $1,027.30 / $1,027.30	Professional		$1,027.30	$1,027.30	$1,027.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.41 / $1,265.68 / $1,518.81	Professional		$980.41	$1,265.68	$1,518.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,325.04 / $1,450.11 / $1,712.03	Professional		$1,325.04	$1,450.11	$1,712.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,113.79 / $1,215.05 / $1,417.56	Professional		$1,113.79	$1,215.05	$1,417.56
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 $1,031.58 / $1,265.68 / $1,609.02	Professional		$1,031.58	$1,265.68	$1,609.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,178.36 / $3,692.19 / $9,324.00	Professional		$1,178.36	$3,692.19	$9,324.00