Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.64 / $1,175.67 / $1,175.67	Professional		$1,066.64	$1,175.67	$1,175.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.95 / $1,560.71 / $1,560.71	Professional		$1,253.95	$1,560.71	$1,560.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,672.17 / $1,878.73 / $2,216.90	Professional		$1,672.17	$1,878.73	$2,216.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,373.43 / $1,498.28 / $1,748.00	Professional		$1,373.43	$1,498.28	$1,748.00
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 $1,273.54 / $1,560.71 / $1,993.16	Professional		$1,273.54	$1,560.71	$1,993.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $3,692.19 / $9,324.00	Professional		$1,415.00	$3,692.19	$9,324.00