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 $1,140.36 / $1,140.36 / $1,140.36	Professional		$1,140.36	$1,140.36	$1,140.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.35 / $1,393.35 / $1,672.02	Professional		$1,082.35	$1,393.35	$1,672.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,509.07 / $1,651.52 / $1,949.81	Professional		$1,509.07	$1,651.52	$1,949.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.15 / $1,337.62 / $1,560.55	Professional		$1,226.15	$1,337.62	$1,560.55
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 $1,129.85 / $1,393.35 / $1,790.72	Professional		$1,129.85	$1,393.35	$1,790.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $991.57 / $2,000.00 / $5,304.00	Professional		$991.57	$2,000.00	$5,304.00