Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.55 / $1,288.55 / $1,288.55	Professional		$1,288.55	$1,288.55	$1,288.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.11 / $1,568.65 / $1,882.38	Professional		$1,219.11	$1,568.65	$1,882.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,669.44 / $1,827.03 / $2,157.02	Professional		$1,669.44	$1,827.03	$2,157.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.41 / $1,505.90 / $1,756.89	Professional		$1,380.41	$1,505.90	$1,756.89
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 $1,277.76 / $1,568.65 / $2,022.87	Professional		$1,277.76	$1,568.65	$2,022.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,125.61 / $2,575.00 / $6,124.00	Professional		$1,125.61	$2,575.00	$6,124.00