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 $1,180.02 / $1,180.02 / $1,180.02	Professional		$1,180.02	$1,180.02	$1,180.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.17 / $1,361.31 / $1,633.58	Professional		$1,176.17	$1,361.31	$1,633.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,438.55 / $1,574.33 / $1,907.18	Professional		$1,438.55	$1,574.33	$1,907.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.96 / $1,306.85 / $1,524.67	Professional		$1,197.96	$1,306.85	$1,524.67
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 $949.67 / $1,316.94 / $1,655.58	Professional		$949.67	$1,316.94	$1,655.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $983.05 / $2,582.96 / $6,124.00	Professional		$983.05	$2,582.96	$6,124.00