Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,862.09	Professional		$1,202.26	$1,380.38	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,819.70	Professional		$1,288.25	$1,513.56	$1,819.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $7,943.28	Professional		$1,698.24	$1,949.84	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $1,949.84	Professional		$1,380.38	$1,548.82	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,089.30	Professional		$1,071.52	$1,445.44	$2,089.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,691.53 / $6,165.95	Professional		$1,148.15	$2,691.53	$6,165.95