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 $1,087.66 / $1,087.66 / $1,640.03	Professional		$1,087.66	$1,087.66	$1,640.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.36 / $1,307.83 / $1,569.41	Professional		$1,016.36	$1,307.83	$1,569.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,401.26 / $1,533.53 / $1,810.51	Professional		$1,401.26	$1,533.53	$1,810.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.90 / $1,255.52 / $1,464.78	Professional		$1,150.90	$1,255.52	$1,464.78
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 $1,058.95 / $1,307.83 / $1,679.31	Professional		$1,058.95	$1,307.83	$1,679.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $939.79 / $2,000.00 / $5,304.00	Professional		$939.79	$2,000.00	$5,304.00