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 $1,089.50 / $1,089.50 / $1,089.50	Professional		$1,089.50	$1,089.50	$1,089.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.26 / $1,283.75 / $1,540.50	Professional		$994.26	$1,283.75	$1,540.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,405.04 / $1,537.66 / $1,815.40	Professional		$1,405.04	$1,537.66	$1,815.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.70 / $1,232.40 / $1,437.80	Professional		$1,129.70	$1,232.40	$1,437.80
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 $1,047.54 / $1,283.75 / $1,623.86	Professional		$1,047.54	$1,283.75	$1,623.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,080.72 / $2,582.96 / $6,124.00	Professional		$1,080.72	$2,582.96	$6,124.00