Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,572.56 / $1,572.56 / $1,760.07	Professional		$1,572.56	$1,572.56	$1,760.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,654.21 / $2,027.21 / $2,432.66	Professional		$1,654.21	$2,027.21	$2,432.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,006.87 / $2,259.05 / $2,508.59	Professional		$2,006.87	$2,259.05	$2,508.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.73 / $1,783.95 / $2,027.21	Professional		$1,412.73	$1,783.95	$2,027.21
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 $1,654.21 / $2,027.21 / $2,707.43	Professional		$1,654.21	$2,027.21	$2,707.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $1,525.22 / $2,130.16	Professional		$268.37	$1,525.22	$2,130.16