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 $1,058.48 / $1,058.48 / $1,058.48	Professional		$1,058.48	$1,058.48	$1,058.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.18 / $1,307.30 / $1,568.76	Professional		$1,012.18	$1,307.30	$1,568.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,366.74 / $1,495.75 / $1,765.91	Professional		$1,366.74	$1,495.75	$1,765.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.42 / $1,255.01 / $1,464.18	Professional		$1,150.42	$1,255.01	$1,464.18
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 $1,056.30 / $1,307.30 / $1,664.34	Professional		$1,056.30	$1,307.30	$1,664.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,229.88 / $3,692.19 / $9,324.00	Professional		$1,229.88	$3,692.19	$9,324.00