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 $1,071.52 / $1,202.26 / $1,621.81	Professional		$1,071.52	$1,202.26	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,584.89	Professional		$1,122.02	$1,348.96	$1,584.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $12,589.25	Professional		$1,659.59	$1,905.46	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,621.81	Professional		$1,148.15	$1,288.25	$1,621.81
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 $933.25 / $1,479.11 / $1,862.09	Professional		$933.25	$1,479.11	$1,862.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $7,943.28	Professional		$1,412.54	$4,073.80	$7,943.28