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 $1,112.60 / $1,112.60 / $1,112.60	Professional		$1,112.60	$1,112.60	$1,112.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.83 / $1,458.85 / $1,750.62	Professional		$1,122.83	$1,458.85	$1,750.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,550.53 / $1,696.88 / $2,003.37	Professional		$1,550.53	$1,696.88	$2,003.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,283.79 / $1,400.50 / $1,633.91	Professional		$1,283.79	$1,400.50	$1,633.91
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 $1,182.34 / $1,458.85 / $1,892.15	Professional		$1,182.34	$1,458.85	$1,892.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,240.00 / $3,191.04 / $8,000.00	Professional		$1,240.00	$3,191.04	$8,000.00