Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.82 / $1,089.79 / $1,089.79	Professional		$1,088.82	$1,089.79	$1,089.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.66 / $1,304.58 / $1,304.58	Professional		$1,061.66	$1,304.58	$1,304.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,384.08 / $1,555.06 / $1,834.97	Professional		$1,384.08	$1,555.06	$1,834.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.03 / $1,252.39 / $1,461.12	Professional		$1,148.03	$1,252.39	$1,461.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.53 / $1,304.58 / $1,689.99	Professional		$1,064.53	$1,304.58	$1,689.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,240.00 / $3,900.00 / $8,000.00	Professional		$1,240.00	$3,900.00	$8,000.00