Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,548.82	Professional		$1,000.00	$1,071.52	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,548.82	Professional		$1,096.48	$1,230.27	$1,548.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,949.84	Professional		$1,479.11	$1,621.81	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,737.80	Professional		$1,230.27	$1,380.38	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,737.80	Professional		$851.14	$1,174.90	$1,737.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,000.00 / $1,584.89	Professional		$29.51	$1,000.00	$1,584.89