Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.88 / $1,059.90 / $1,631.42	Professional		$939.88	$1,059.90	$1,631.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.17 / $1,290.64 / $1,548.77	Professional		$1,019.17	$1,290.64	$1,548.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,355.34 / $1,522.77 / $1,751.19	Professional		$1,355.34	$1,522.77	$1,751.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,135.76 / $1,239.01 / $1,445.51	Professional		$1,135.76	$1,239.01	$1,445.51
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 $972.59 / $1,290.64 / $1,652.06	Professional		$972.59	$1,290.64	$1,652.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $1,229.27 / $1,394.74	Professional		$174.34	$1,229.27	$1,394.74