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 $988.66 / $1,173.57 / $1,173.57	Professional		$988.66	$1,173.57	$1,173.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.79 / $1,594.65 / $1,594.65	Professional		$1,272.79	$1,594.65	$1,594.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,701.01 / $1,957.16 / $6,874.20	Professional		$1,701.01	$1,957.16	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,403.29 / $1,530.86 / $1,786.01	Professional		$1,403.29	$1,530.86	$1,786.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.23 / $1,594.65 / $2,059.94	Professional		$1,301.23	$1,594.65	$2,059.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $3,692.19 / $9,324.00	Professional		$1,415.00	$3,692.19	$9,324.00