Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.37 / $1,499.37 / $1,499.37	Professional		$1,499.37	$1,499.37	$1,499.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.46 / $1,626.69 / $1,952.03	Professional		$1,405.46	$1,626.69	$1,952.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,763.99 / $1,930.49 / $2,338.63	Professional		$1,763.99	$1,930.49	$2,338.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,431.49 / $1,561.62 / $1,821.89	Professional		$1,431.49	$1,561.62	$1,821.89
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 $1,179.08 / $1,579.08 / $2,042.00	Professional		$1,179.08	$1,579.08	$2,042.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,277.78 / $3,900.00 / $8,000.00	Professional		$1,277.78	$3,900.00	$8,000.00