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 $1,165.76 / $1,165.76 / $1,165.76	Professional		$1,165.76	$1,165.76	$1,165.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.69 / $1,503.51 / $1,804.22	Professional		$1,183.69	$1,503.51	$1,804.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,609.48 / $1,808.30 / $5,851.00	Professional		$1,609.48	$1,808.30	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,323.09 / $1,443.37 / $1,683.93	Professional		$1,323.09	$1,443.37	$1,683.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.33 / $1,503.51 / $1,877.91	Professional		$1,216.33	$1,503.51	$1,877.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,344.62 / $3,191.04 / $8,000.00	Professional		$1,344.62	$3,191.04	$8,000.00