Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.70 / $1,153.63 / $1,153.63	Professional		$1,053.70	$1,153.63	$1,153.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.05 / $1,589.54 / $1,589.54	Professional		$1,230.05	$1,589.54	$1,589.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,708.05 / $1,965.26 / $6,874.20	Professional		$1,708.05	$1,965.26	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.79 / $1,525.96 / $1,780.28	Professional		$1,398.79	$1,525.96	$1,780.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,297.06 / $1,589.54 / $1,972.13	Professional		$1,297.06	$1,589.54	$1,972.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,520.40 / $5,316.74 / $11,157.30	Professional		$1,520.40	$5,316.74	$11,157.30