Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.58 / $1,244.58 / $1,244.58	Professional		$1,244.58	$1,244.58	$1,244.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.50 / $1,335.89 / $1,603.07	Professional		$1,034.50	$1,335.89	$1,603.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,477.31 / $1,659.80 / $5,851.00	Professional		$1,477.31	$1,659.80	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.58 / $1,282.45 / $1,496.19	Professional		$1,175.58	$1,282.45	$1,496.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.08 / $1,335.89 / $1,695.62	Professional		$1,090.08	$1,335.89	$1,695.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $1,270.68 / $1,437.75	Professional		$179.72	$1,270.68	$1,437.75