Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.48 / $1,608.48 / $1,891.47	Professional		$1,608.48	$1,608.48	$1,891.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.99 / $2,153.17 / $2,583.81	Professional		$1,756.99	$2,153.17	$2,583.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,094.60 / $2,360.16 / $2,626.87	Professional		$2,094.60	$2,360.16	$2,626.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,456.11 / $1,894.79 / $2,153.17	Professional		$1,456.11	$1,894.79	$2,153.17
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 $1,756.99 / $2,153.17 / $2,840.63	Professional		$1,756.99	$2,153.17	$2,840.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $287.22 / $1,591.90 / $2,279.79	Professional		$287.22	$1,591.90	$2,279.79