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 $1,174.58 / $1,174.58 / $1,174.58	Professional		$1,174.58	$1,174.58	$1,174.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.17 / $1,355.53 / $1,626.63	Professional		$1,171.17	$1,355.53	$1,626.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,432.33 / $1,567.53 / $1,898.93	Professional		$1,432.33	$1,567.53	$1,898.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,192.85 / $1,301.30 / $1,518.19	Professional		$1,192.85	$1,301.30	$1,518.19
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 $945.32 / $1,311.11 / $1,648.13	Professional		$945.32	$1,311.11	$1,648.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $978.80 / $2,582.96 / $6,124.00	Professional		$978.80	$2,582.96	$6,124.00