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 $1,121.43 / $1,683.52 / $5,389.00	Professional		$1,121.43	$1,683.52	$5,389.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.45 / $1,343.10 / $1,611.72	Professional		$1,043.45	$1,343.10	$1,611.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,426.82 / $1,603.07 / $10,286.10	Professional		$1,426.82	$1,603.07	$10,286.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.93 / $1,289.38 / $1,504.27	Professional		$1,181.93	$1,289.38	$1,504.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.89 / $1,343.10 / $1,726.20	Professional		$1,088.89	$1,343.10	$1,726.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $965.77 / $2,000.00 / $5,304.00	Professional		$965.77	$2,000.00	$5,304.00