Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,621.81	Professional		$891.25	$1,202.26	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,584.89	Professional		$1,122.02	$1,202.26	$1,584.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,041.74	Professional		$1,513.56	$1,659.59	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,584.89	Professional		$1,122.02	$1,258.93	$1,584.89
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 / $1,445.44 / $1,862.09	Professional		$933.25	$1,445.44	$1,862.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,412.54 / $2,511.89	Professional		$29.51	$1,412.54	$2,511.89