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 $1,255.28 / $1,255.28 / $1,255.28	Professional		$1,255.28	$1,255.28	$1,255.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.23 / $1,459.76 / $1,751.72	Professional		$1,134.23	$1,459.76	$1,751.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,617.30 / $1,769.96 / $2,089.64	Professional		$1,617.30	$1,769.96	$2,089.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,284.58 / $1,401.37 / $1,634.93	Professional		$1,284.58	$1,401.37	$1,634.93
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 $1,191.17 / $1,459.76 / $1,878.80	Professional		$1,191.17	$1,459.76	$1,878.80
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