Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.00 / $1,352.94 / $1,623.53	Professional		$1,104.00	$1,352.94	$1,623.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,419.69 / $1,595.06 / $10,731.00	Professional		$1,419.69	$1,595.06	$10,731.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.58 / $1,298.82 / $1,515.29	Professional		$1,190.58	$1,298.82	$1,515.29
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 $844.29 / $1,328.39 / $1,754.19	Professional		$844.29	$1,328.39	$1,754.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $2,582.96 / $6,124.00	Professional		$1,005.00	$2,582.96	$6,124.00