Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.54 / $1,563.54 / $1,563.54	Professional		$1,563.54	$1,563.54	$1,563.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.09 / $1,747.79 / $2,097.35	Professional		$1,510.09	$1,747.79	$2,097.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,811.74 / $2,066.63 / $4,765.00	Professional		$1,811.74	$2,066.63	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,538.05 / $1,677.88 / $1,957.52	Professional		$1,538.05	$1,677.88	$1,957.52
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 $1,311.21 / $1,711.81 / $2,247.94	Professional		$1,311.21	$1,711.81	$2,247.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,368.42 / $3,692.19 / $9,324.00	Professional		$1,368.42	$3,692.19	$9,324.00