Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.68 / $1,426.68 / $1,728.78	Professional		$1,426.68	$1,426.68	$1,728.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.46 / $2,025.08 / $2,430.09	Professional		$1,652.46	$2,025.08	$2,430.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,894.00 / $2,147.33 / $2,417.15	Professional		$1,894.00	$2,147.33	$2,417.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,322.54 / $1,782.07 / $2,025.08	Professional		$1,322.54	$1,782.07	$2,025.08
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 $1,648.08 / $2,025.08 / $2,645.85	Professional		$1,648.08	$2,025.08	$2,645.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $264.29 / $1,420.84 / $2,097.77	Professional		$264.29	$1,420.84	$2,097.77