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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.81 / $1,168.79 / $1,168.79	Professional		$1,045.81	$1,168.79	$1,168.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.72 / $1,244.51 / $1,366.86	Professional		$1,019.72	$1,244.51	$1,366.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,307.91 / $1,504.87 / $8,902.00	Professional		$1,307.91	$1,504.87	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,095.17 / $1,194.73 / $1,393.85	Professional		$1,095.17	$1,194.73	$1,393.85
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 $1,015.52 / $1,244.51 / $1,616.43	Professional		$1,015.52	$1,244.51	$1,616.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.17 / $2,582.96 / $6,124.00	Professional		$891.17	$2,582.96	$6,124.00