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 $1,862.09 / $2,089.30 / $2,818.38	Professional		$1,862.09	$2,089.30	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,818.38	Professional		$1,995.26	$2,187.76	$2,818.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,548.13	Professional		$2,691.53	$2,951.21	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $2,691.53	Professional		$1,905.46	$2,187.76	$2,691.53
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 $1,621.81 / $2,238.72 / $3,311.31	Professional		$1,621.81	$2,238.72	$3,311.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,995.26 / $2,754.23	Professional		$29.51	$1,995.26	$2,754.23