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 $1,184.36 / $1,238.56 / $1,238.56	Professional		$1,184.36	$1,238.56	$1,238.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.83 / $1,413.86 / $1,413.86	Professional		$1,140.83	$1,413.86	$1,413.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,642.86 / $1,845.81 / $2,178.06	Professional		$1,642.86	$1,845.81	$2,178.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,244.20 / $1,357.31 / $1,583.53	Professional		$1,244.20	$1,357.31	$1,583.53
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 $1,153.71 / $1,413.86 / $1,839.77	Professional		$1,153.71	$1,413.86	$1,839.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $968.00 / $2,000.00 / $5,304.00	Professional		$968.00	$2,000.00	$5,304.00