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 $1,560.18 / $1,560.18 / $1,560.18	Professional		$1,560.18	$1,560.18	$1,560.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.45 / $1,784.09 / $2,140.91	Professional		$1,541.45	$1,784.09	$2,140.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,913.59 / $2,149.96 / $10,901.00	Professional		$1,913.59	$2,149.96	$10,901.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,570.00 / $1,712.72 / $1,998.18	Professional		$1,570.00	$1,712.72	$1,998.18
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 $1,239.53 / $1,728.45 / $2,177.36	Professional		$1,239.53	$1,728.45	$2,177.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,307.67 / $3,692.19 / $9,324.00	Professional		$1,307.67	$3,692.19	$9,324.00