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 $1,364.02 / $1,364.02 / $1,364.02	Professional		$1,364.02	$1,364.02	$1,364.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.90 / $1,561.23 / $1,873.47	Professional		$1,348.90	$1,561.23	$1,873.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,653.48 / $1,809.55 / $2,192.12	Professional		$1,653.48	$1,809.55	$2,192.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,373.88 / $1,498.78 / $1,748.57	Professional		$1,373.88	$1,498.78	$1,748.57
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 $1,105.01 / $1,517.08 / $1,921.52	Professional		$1,105.01	$1,517.08	$1,921.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,062.46 / $2,582.96 / $6,124.00	Professional		$1,062.46	$2,582.96	$6,124.00