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 $1,335.63 / $1,335.63 / $1,335.63	Professional		$1,335.63	$1,335.63	$1,335.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.64 / $1,758.28 / $2,109.92	Professional		$1,377.64	$1,758.28	$2,109.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,868.74 / $2,099.59 / $8,430.00	Professional		$1,868.74	$2,099.59	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,547.28 / $1,687.94 / $1,969.27	Professional		$1,547.28	$1,687.94	$1,969.27
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 $1,363.92 / $1,758.28 / $2,193.56	Professional		$1,363.92	$1,758.28	$2,193.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,364.00 / $3,191.04 / $8,000.00	Professional		$1,364.00	$3,191.04	$8,000.00