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 $1,290.33 / $1,290.33 / $2,016.93	Professional		$1,290.33	$1,290.33	$2,016.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,233.65 / $1,597.14 / $1,916.57	Professional		$1,233.65	$1,597.14	$1,916.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,663.52 / $1,820.53 / $2,250.64	Professional		$1,663.52	$1,820.53	$2,250.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.48 / $1,533.25 / $1,788.79	Professional		$1,405.48	$1,533.25	$1,788.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.01 / $1,597.14 / $2,017.88	Professional		$1,245.01	$1,597.14	$2,017.88
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