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 $1,445.44 / $1,659.59 / $2,344.23	Professional		$1,445.44	$1,659.59	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,344.23	Professional		$1,659.59	$1,737.80	$2,344.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $3,019.95	Professional		$2,238.72	$2,454.71	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,630.27	Professional		$1,862.09	$2,089.30	$2,630.27
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 $1,348.96 / $1,737.80 / $2,691.53	Professional		$1,348.96	$1,737.80	$2,691.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,548.82 / $2,344.23	Professional		$29.51	$1,548.82	$2,344.23