Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.98 / $1,257.98 / $1,531.43	Professional		$1,257.98	$1,257.98	$1,531.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.91 / $1,779.30 / $2,135.16	Professional		$1,451.91	$1,779.30	$2,135.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,616.91 / $1,862.41 / $2,120.92	Professional		$1,616.91	$1,862.41	$2,120.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.52 / $1,562.07 / $1,779.30	Professional		$1,145.52	$1,562.07	$1,779.30
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 $1,451.91 / $1,779.30 / $2,314.86	Professional		$1,451.91	$1,779.30	$2,314.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $231.90 / $1,231.96 / $1,840.69	Professional		$231.90	$1,231.96	$1,840.69