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 $1,104.99 / $1,104.99 / $1,104.99	Professional		$1,104.99	$1,104.99	$1,104.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.57 / $1,217.33 / $1,460.81	Professional		$943.57	$1,217.33	$1,460.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,496.50 / $1,637.76 / $1,933.56	Professional		$1,496.50	$1,637.76	$1,933.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.26 / $1,168.64 / $1,363.42	Professional		$1,071.26	$1,168.64	$1,363.42
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 $972.16 / $1,217.33 / $1,547.73	Professional		$972.16	$1,217.33	$1,547.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,106.00 / $2,582.96 / $6,124.00	Professional		$1,106.00	$2,582.96	$6,124.00