Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.36 / $1,062.13 / $1,307.15	Professional		$942.36	$1,062.13	$1,307.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.40 / $1,088.40 / $1,088.40	Facility		$1,088.40	$1,088.40	$1,088.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.56 / $1,383.49 / $2,494.81	Professional		$998.56	$1,383.49	$2,494.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,454.46 / $1,634.13 / $1,967.80	Professional		$1,454.46	$1,634.13	$1,967.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.20 / $1,328.15 / $1,549.51	Professional		$1,173.20	$1,328.15	$1,549.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.39 / $1,383.49 / $1,867.87	Professional		$1,026.39	$1,383.49	$1,867.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $924.22 / $2,000.00 / $5,304.00	Professional		$924.22	$2,000.00	$5,304.00