Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $2,041.74	Professional		$1,380.38	$1,479.11	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,995.26	Professional		$1,412.54	$1,737.80	$1,995.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,511.89	Professional		$1,995.26	$2,511.89	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $1,949.84	Professional		$1,380.38	$1,548.82	$1,949.84
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 $1,148.15 / $1,659.59 / $2,344.23	Professional		$1,148.15	$1,659.59	$2,344.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,288.25 / $2,290.87	Professional		$29.51	$1,288.25	$2,290.87