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 $1,040.93 / $1,040.93 / $1,040.93	Professional		$1,040.93	$1,040.93	$1,040.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.04 / $1,307.58 / $1,569.11	Professional		$1,013.04	$1,307.58	$1,569.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,367.80 / $1,496.91 / $1,767.29	Professional		$1,367.80	$1,496.91	$1,767.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.68 / $1,255.28 / $1,464.50	Professional		$1,150.68	$1,255.28	$1,464.50
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 $1,043.75 / $1,307.58 / $1,661.81	Professional		$1,043.75	$1,307.58	$1,661.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,086.86 / $3,619.79 / $9,324.00	Professional		$1,086.86	$3,619.79	$9,324.00