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 $1,098.99 / $1,098.99 / $1,098.99	Professional		$1,098.99	$1,098.99	$1,098.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.55 / $1,255.26 / $1,506.32	Professional		$1,084.55	$1,255.26	$1,506.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,306.67 / $1,490.51 / $4,765.00	Professional		$1,306.67	$1,490.51	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.63 / $1,205.05 / $1,405.89	Professional		$1,104.63	$1,205.05	$1,405.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.72 / $1,218.74 / $1,557.38	Professional		$894.72	$1,218.74	$1,557.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $906.57 / $2,582.96 / $6,124.00	Professional		$906.57	$2,582.96	$6,124.00