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 $1,165.75 / $1,195.40 / $1,195.40	Professional		$1,165.75	$1,195.40	$1,195.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.28 / $1,587.48 / $1,587.48	Professional		$1,492.28	$1,587.48	$1,587.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,708.78 / $1,966.10 / $8,902.00	Professional		$1,708.78	$1,966.10	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,396.98 / $1,523.98 / $1,777.97	Professional		$1,396.98	$1,523.98	$1,777.97
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 $1,295.38 / $1,587.48 / $1,970.13	Professional		$1,295.38	$1,587.48	$1,970.13
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