Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,495.41 / $5,495.41	Facility		$1,905.46	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $8,128.31	Professional		$1,318.26	$1,479.11	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,995.26	Professional		$1,412.54	$1,778.28	$1,995.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $7,079.46	Professional		$1,995.26	$2,290.87	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,995.26	Professional		$1,412.54	$1,584.89	$1,995.26
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 / $1,737.80 / $2,290.87	Professional		$1,148.15	$1,737.80	$2,290.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,318.26 / $2,398.83	Professional		$29.51	$1,318.26	$2,398.83