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 $1,075.31 / $1,075.31 / $1,075.31	Professional		$1,075.31	$1,075.31	$1,075.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.98 / $1,246.50 / $1,495.80	Professional		$1,076.98	$1,246.50	$1,495.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,281.70 / $1,462.03 / $4,765.00	Professional		$1,281.70	$1,462.03	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.92 / $1,196.64 / $1,396.08	Professional		$1,096.92	$1,196.64	$1,396.08
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 $927.26 / $1,200.84 / $1,258.49	Professional		$927.26	$1,200.84	$1,258.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $911.13 / $2,582.96 / $6,124.00	Professional		$911.13	$2,582.96	$6,124.00