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 $1,034.03 / $1,034.03 / $1,034.03	Professional		$1,034.03	$1,034.03	$1,034.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.39 / $1,199.53 / $1,439.43	Professional		$1,036.39	$1,199.53	$1,439.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,236.18 / $1,388.89 / $7,637.00	Professional		$1,236.18	$1,388.89	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.58 / $1,151.54 / $1,343.47	Professional		$1,055.58	$1,151.54	$1,343.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.72 / $1,036.39 / $1,210.52	Professional		$807.72	$1,036.39	$1,210.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $878.54 / $2,582.96 / $6,124.00	Professional		$878.54	$2,582.96	$6,124.00