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 $1,238.79 / $1,238.79 / $1,238.79	Professional		$1,238.79	$1,238.79	$1,238.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.73 / $1,415.93 / $1,699.11	Professional		$1,098.73	$1,415.93	$1,699.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,613.86 / $1,766.20 / $2,085.19	Professional		$1,613.86	$1,766.20	$2,085.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,246.01 / $1,359.29 / $1,585.84	Professional		$1,246.01	$1,359.29	$1,585.84
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 $1,155.39 / $1,415.93 / $1,809.51	Professional		$1,155.39	$1,415.93	$1,809.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,362.37 / $3,900.00 / $8,000.00	Professional		$1,362.37	$3,900.00	$8,000.00