Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,818.38	Professional		$1,513.56	$1,862.09	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $2,511.89	Professional		$2,041.74	$2,454.71	$2,511.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $3,548.13	Professional		$2,818.38	$3,162.28	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,630.27	Professional		$1,905.46	$2,089.30	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,235.94	Professional		$2,041.74	$2,398.83	$3,235.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,819.70 / $2,511.89	Professional		$29.51	$1,819.70	$2,511.89