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 $1,063.29 / $1,673.84 / $5,152.54	Professional		$1,063.29	$1,673.84	$5,152.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.04 / $1,325.19 / $1,590.23	Professional		$1,025.04	$1,325.19	$1,590.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,383.74 / $1,554.67 / $5,851.00	Professional		$1,383.74	$1,554.67	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,166.17 / $1,272.18 / $1,484.21	Professional		$1,166.17	$1,272.18	$1,484.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.98 / $1,325.19 / $1,674.72	Professional		$991.98	$1,325.19	$1,674.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $992.07 / $3,619.79 / $9,324.00	Professional		$992.07	$3,619.79	$9,324.00