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 $1,167.47 / $1,252.22 / $1,252.22	Professional		$1,167.47	$1,252.22	$1,252.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.49 / $1,492.49 / $1,619.69	Professional		$1,492.49	$1,492.49	$1,619.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,661.87 / $1,867.16 / $2,203.25	Professional		$1,661.87	$1,867.16	$2,203.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,313.39 / $1,432.79 / $1,671.59	Professional		$1,313.39	$1,432.79	$1,671.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.86 / $1,492.49 / $1,846.16	Professional		$1,217.86	$1,492.49	$1,846.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,364.00 / $3,900.00 / $8,000.00	Professional		$1,364.00	$3,900.00	$8,000.00