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 $858.00 / $909.77 / $1,139.36	Professional		$858.00	$909.77	$1,139.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.74 / $1,749.74 / $1,749.74	Facility		$1,749.74	$1,749.74	$1,749.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.80 / $1,212.53 / $2,289.37	Professional		$894.80	$1,212.53	$2,289.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,279.55 / $1,437.61 / $1,731.15	Professional		$1,279.55	$1,437.61	$1,731.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.22 / $1,164.02 / $1,358.03	Professional		$1,028.22	$1,164.02	$1,358.03
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 $881.02 / $1,212.53 / $1,593.03	Professional		$881.02	$1,212.53	$1,593.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $963.96 / $3,692.19 / $9,324.00	Professional		$963.96	$3,692.19	$9,324.00